Sunday Case Study - 04092016

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4 Sep 2016 - General

An elderly woman, of 91 years old, with background of hypertension, hypercholesterolaemia, type 2 diabetes mellitus, previous stroke, ischeamic heart disease, good baseline with mobilisation with 1 stick, attended casualty due to few episodes of dizziness. She was founded to have postural hypotension, which is the likely cause of dizziness. In addition, she was founded to have new on-set atrial fibrillation. She deny any chest pain, shortness of breath, palpitation. Her troponin was negative, chest x ray was normal, urine dipstick was negative. Her heart rate was around 115 atrial fibrillation, with blood pressure of 145/92. How would you control her heart rate? What other medications would you considered to add in for her?