Arrhythmias

A 62-year-old man collapses in a hospital foyer and is found to be in ventricular fibrillation. Compressions have been continuous, adrenaline 1 mg has been give…

Pre-internship · niche

A 74-year-old man on a surgical ward reports palpitations on the second day after a right hemicolectomy. He is alert and comfortable, with a blood pressure of 1…

Clinical rotations · common

A 24-year-old man presents with two hours of palpitations. He is alert, has no chest pain, and his blood pressure is 124/76 mmHg. The radial pulse is regular at…

Foundations · common

A 62-year-old man has a regular broad-complex tachycardia at 190 beats per minute three hours after treatment for an acute myocardial infarction. He is consciou…

Pre-internship · common

A 24-year-old woman presents with abrupt pounding in her neck and mild breathlessness that began while she was sitting at work. She is alert, warm and normotens…

Clinical rotations · middle twist

A 72-year-old woman with severe chronic obstructive pulmonary disease is admitted with worsening breathlessness. Her pulse is irregular at 118 beats per minute.…

Clinical rotations · middle twist

A 67-year-old man with a previous anterior myocardial infarction develops palpitations while being monitored in hospital. He is alert, has a blood pressure of 1…

Clinical rotations · common

A 29-year-old man presents with palpitations and light-headedness. His pulse is irregular at 190 beats per minute and the blood pressure is 126/74 mmHg. The ECG…

Clinical rotations · niche

A 68-year-old man presents with 30 minutes of rapid palpitations and light-headedness. Three years ago he had a heart attack treated with a coronary artery sten…

Clinical rotations · common

A 72-year-old man with a history of hypertension and heart failure with reduced ejection fraction (HFrEF) presents the emergency department due to sudden onset…

Clinical rotations · middle twist