Case of the Month #8 - atrial fibrillation

Published 03/02/2022


A 63 year old man with a history of hypertension and ischaemic heart disease has been admitted to the intensive care unit with refractory hypotension due to severe sepsis. Inflammatory markers are raised and CXR has revealed a right lower and middle lobe pneumonia.

He has been intubated and ventilated and initiated on empirical antibiotics. Blood pressure has remained stable on a small dose of noradrenaline. On the ward round his heart rate is noted to be irregular and a 12 lead ECG shows new onset atrial fibrillation. 


Written by Dr Adam Marshall

First published on 20 August 2020