Blood pressure Quote by Eugene C. Toy
““3.5 A 45-year-old woman is noted to have dizziness, pounding of the chest, and fatigue of 3 hours’ duration. On examination, she is noted to have a blood pressure (BP) of 110/70 mm Hg and heart rate of 180 bpm. She is noted on ECG to have atrial fibrillation, and a prior baseline ECG showed delta waves. The ER physician counsels the patient regarding cardioversion, but the patient declines. Which of the following is the best therapy for her condition? A. Digoxin B. Angiotensin-converting enzyme (ACE) inhibitor C. Calcium channel blocker D. Procainamide””
About This Quote
Source Medical case vignette, clinical exam, 2022
The patient with Wolff-Parkinson-White syndrome and atrial fibrillation should be treated with procainamide, which addresses both conduction abnormalities.
In simple terms: Procainamide treats the arrhythmia effectively.
Key Takeaway
Use procainamide for WPW with atrial fibrillation.
Themes
cardiology
arrhythmia
treatment
clinical decision
emergency care
Mood
clinical
urgent
analytical
Type
Blood pressure:1
Heart rate:1
Cardioversion Patient:1
Digoxin Angiotensin:0
Condition Digoxin:0
Digoxin:0
Ecg Atrial:0
When to use this quote
- emergency department
- cardiology consult
- patient education
Key Concepts
electrophysiology
pharmacology
patient counseling
Questions to Reflect On
- What are alternative therapies?
- How to monitor for side effects?
A Different Perspective
Limited data on long‑term outcomes with procainamide.
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