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  • BET 4. INTRAVENOUS DILTIAZEM FOR THE CONTROL OF VENTRICULAR RATE FOR PATIENTS WITH RECENT ONSET ATRIAL FIBRILLATION AND LEFT VENTRICULAR FAILURE

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BET 4. INTRAVENOUS DILTIAZEM FOR THE CONTROL OF VENTRICULAR RATE FOR PATIENTS WITH RECENT ONSET ATRIAL FIBRILLATION AND LEFT VENTRICULAR FAILURE

https://doi.org/10.1136/emj.2009.077792

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    Report by: Dr Richard Parris, Consultant in Emergency Medicine

    Institution: Royal Bolton Hospital, Bolton, UK

    Checked by: Dr Simon Clarke, Consultant in Emergency Medicine

    Institution: Frimley Park Hospital, Camberley, UK

    CLINICAL SCENARIO

    A 72-year-old woman with a past history of untreated hypertension presents with palpitations, shortness of breath and ankle swelling for the past 72 h.

    Examination shows that she has atrial fibrillation with a ventricular rate of 162 bpm, a blood pressure of 146/78 mm Hg and signs of …

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