A 35YM in acute Decompensated HF, HR 160 What's EKG interpretation ⁉️ Next step⁉️

Oct 6, 2026 · 1:49 PM UTC

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afib w/ rapid ventricular response and right axis deviation; assess stability of bp and consider shock; V1 has some artifact. no WPW currently present IMO chest xray, echocardiogram and troponin/BNP and begin appropriate beta blockade; do not give non-dhp CCB because of HF risk
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Thank you. The patient is hemodynamically stable 👏
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