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- Omar Viswanath, Allan F Simpao, and Sushmitha Santhosh.
- From the *Miami Beach Anesthesiology Associates, Inc., Miami Beach, Florida; †Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida; ‡Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and §The University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
- A A Case Rep. 2015 Aug 15;5(4):54-6.
AbstractWe present the case of an asymptomatic 82-year-old patient with no coronary artery disease and a negative cardiac workup who presented to the hospital for an elective total knee replacement. The patient had stable vital signs in the preanesthesia holding unit, yet the anesthesiologist recognized new-onset atrial fibrillation on the patient's monitor. The dysrhythmia was confirmed with a 12-lead electrocardiogram. The procedure was canceled, and the patient was sent for additional evaluation. An echocardiogram revealed a pulmonary embolism. This case report illustrates the need for a questioning attitude and diligent monitoring in all phases of perioperative care.
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