Questions for Discussion with answers:

  1. When do you think this rapid irregular rhythm started?  Answers
  2. Is this patient hemodynamically stable or unstable?  Answers
  3. What are the possible etiologies for the arrhythmia in this patient?  Answers
  4. What do you think of this patient’s heart from the exam?  Answers

  5. Do you think his serum catecholamines are higher or lower than normal and why? Answers
  6. Outline your treatment plan including: 
    a. Rate control
    b. Rhythm control
    c. Anticoagulation