The Most Common Inpatient Problems in Internal Medicine pdf

[...]... Afib is the highest within the first 24 hours of onset of Afib With longer duration of Afib, electrophysiological remodeling occurs, resulting in decreased atrial refractory periods and perhaps 6 Atrial Fibrillation increasing the sinus node recovery time In addition, prolonged duration of Afib may result in an increased recovery time for atrial contractility after cardioversion Afib is often initiated... CLINICAL FEATURES AND EVALUATION Patients most commonly complain of palpitations, lightheadedness, fatigue, chest pain, or dyspnea However, many episodes of Afib are asymptomatic The physical examination may reveal an irregularly irregular pulse, varying intensity of the first heart sound, or murmurs associated with valvular disease The ACC/AHA/ESC Practice Guidelines present a coherent plan for the. .. evaluation of the patient with Afib, described in the following text: History and Physical Examination The history should attempt to determine: Atrial Fibrillation 9  Time of initial diagnosis or onset of symptoms of Afib  Frequency, duration, and potential precipi- tating causes of Afib  Method of termination of Afib, including spontaneous resolution or pharmacologic therapy  Presence of other symptoms... be placed on determining if any of the risk factors or potential causes described in the prior section apply to the patient  Alcohol and medication use should be deter- mined Precipitation of Afib with alcohol intake may also suggest vagal-mediated Afib, particularly if it also occurs at night or during meals  Findings of heat intolerance, modest weight loss, changes in hair or skin texture, or hyperreflexia... rate during exercise The AFFIRM trial used the following criteria to define successful rate control:  Resting average heart rate . now. Our book, The Most Common Inpatient Problems in Internal Medicine, provides practical and pertinent information for the most common medical problems encountered. role in the education of students, residents, fellows, and practicing physic ians. This new contri bution, The Most Common Inpatient Problems in Internal Medicine,