84 year old female with dyspnea and neck tightness.
Question 1: What is the cause of this patient's dyspnea and neck fullness?
Question 2: What are some possible causes for an accelerated junctional rhythm?
-AV junctional rhythm/tachycardia
-Nonspecific ST and/or T wave abnormalities
-Left atrial abnormality
Question 1: In this situation, the ventricle and atrium contract at nearly the same time. This results in atrial contraction against a closed AV valve which can result in the above symptoms.
Question 2: Digitalis toxicity, Beta-agonists, Ischemia, and Cardiac Surgery.