Aortic stenosis, afib, and CHF

A patient with known severe aortic stenosis presents via EHS because of worsening dyspnea, and is found to have atrial fibrillation with rapid ventricular response and to be in congestive heart failure. His hemodynamic status will worsen, prompting management decisions around cardioversion or pharmacologic rate control, and definitive management of his aortic stenosis.

This case was originally uploaded to, and was written by Dr. Donika Orlich. The original upload can be found here.

Aortic Stenosis, Atrial Fibrillation, and CHF

CXR showing CHF

CXR from

Initial ECG

Initial ECG from

Post-cardioversion ECG

Post cardioversion ECG from

Atrial fibrillation

A patient with pneumosepsis and rapid afib. Aimed at junior residents. The goal is for junior residents to recognize that this patient, who is normally rate controlled, is in rapid afib precipitated by a pneumonia. Treating the underlying cause is essential. Written by Dr. Alison Rodger.

Atrial Fibrillation and Sepsis

Labs (Atrial fibrillation and sepsis)

ECG (atrial fibrillation)

ECG source: Life in the Fast Lane ECG library (

CXR with LLL pneumonia

CXR source

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