Case Study E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends. Subjective Data Has been feeling weak for...

Case Study

E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends.

Subjective Data

• Has been feeling weak for a few days


• Became dizzy and fainted while awaiting his dinner


• Takes one medication, a “water pill” for high blood pressure

Objective Data

Physical Examination

• Blood pressure 92/50, pulse 125 and irregular, respirations 24, temperature 97° F

• Alert and oriented


• Lung sounds clear in all fields

Diagnostic Studies

• ECG monitor shows atrial fibrillation

Questions

• What is atrial fibrillation?


• What additional history should you obtain from E.W.?


• Describe the risks associated with atrial fibrillation.