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David Didlake, EMT-P, RN, ACNP @DidlakeDW An early 80’s Female was transported to the ED with new-onset facial droop, slurred speech, and focal deficit. And since common things are common, the statistical probability favors Atrial Fibrillation (AFib) as the culprit. AFib can come and go. Here is the admission ECG.
They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. Although the emergency physician (along with an APRN and an RN) had not seen any alterations in the rhythm after adenosine was pushed, a paper recording of the episode was subsequently unearthed. A surprise clue!
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