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PCCN Progressive Care Certified Nursing

Category - PCCN

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A young man with a known case of valvular heart disease presents in the Accident and Emergency department with complaints of palpitations and fatigue. On examination, his pulse was 300 bpm and was irregularly irregular. ECG revealed the rate of 360 bpm and the rhythm was irregularly irregular. What is the most likely diagnosis of the patient?
  1. Heart block
  2. Tachycardia
  3. Atrial fibrillation
  4. Ventricular premature beats
Explanation
Answer: C - The most likely diagnosis of this young man with valvular heart disease is Atrial Fibrillation in which the rate is 300 to 600 bpm. Moreover, the pulse is irregularly irregular. Valvular disease is one of the triggering factors of AFib.
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