Atrial fibrillation is the most common sustained arrhythmia and often coexists with heart failure. A combined focus on the general principles of management of atrial fibrillation alongside a complex decision regarding suitability and preference for rhythm control is required. Interventional approaches also improve survival and reduce symptom burden in people affected by both conditions.
Cameron M.L. Walters, Riti Chetty, Melissa J. Tanner, Brendan M. McQuillan
Cardiac troponin is the current gold standard diagnostic biomarker of myocardial injury. False-positive troponin results are increasingly recognised and may result in persisting misdiagnosis, unnecessary treatment, anxiety and, ultimately, increased healthcare expenditure.
A 77-year-old woman has recently been wearing a FitBit that has shown her pulse to be irregular and alerting her to frequent alarms. She is feeling well, but when you feel her pulse it is irregularly irregular. You organise an ECG but the paper runs out before you can print the rhythm strip. What does the ECG show and what are the possible diagnoses?
