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His temperature was brought back to normal over time in the ICU. The rhythm is irregularly irregular, and appears to be AFib with a fairly slow ventricular response ( overall rate <70/minute ) — although marked baseline artifact renders the search for atrial activity futile. He was extubated and had normal neurologic function.
This integrated system leverages organized data like imaging report and waveform analysis reports in the cardiology care pathway and provide evidence based clinical decision support based on up to date AFib guidelines.
The pacing rate was increased without clinical improvement and the patient was transferred to the ICU for closer monitoring/treatment. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). A bed side echocardiography revealed a severely depressed LVEF of about 20-25%.
He was admitted to the ICU and was unstable, in shock, overnight. ie, See My Comment in the April 6, 2023 post in Dr. Smith's ECG Blog — in which AFib and AV Wenckebach were repeatedly misinterpreted by a number of medical providers over a period of months, with obvious implications regarding optimal treatment decision-making ).
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