A 62 year old man visits his GP. He suffers from palpitation (feeling of rapid heart beat), head pressure, dizziness and shortness of breath. He also feels weak and incapable. Patient describes that there is "one engine working". His medical history is significant for hypertension, diabetes, MI and ischemic heart disease with decreased ejection fraction of left ventricle under 40%. What are you going to do with him next?
YES, the malignant fibrillation and sudden cardiac arrest can occur, calling an Ambulance is definitely the correct answer.
NO, patient is neither clear nor stable. There is a possibility of malignant fibrillation. This condition can lead to cardiac arrest or death.
NO, the malignant fibrillation and sudden cardiac arrest can occur. If you call an ambulance when cardiac arrest occurs, there will be an undesirable and dangerous delay.
NO, he is not able to get to the hospital on his own. Most likely he can suffer from an arrhythmogenic syncope and this condition can lead to cardiac arrest or death.
Medical history: diabetes mellitus type II- oral antidiabetics and diet, hypertension, stp. myocardial infarction in age of 56, with residual hypokynesis of heart documented by transthoracic echocardiography;
Medication: Siofor 500mg 1-0-1, Anopyrin 100mg 1-0-0, Sortis 40mg 0-0-1, Betaloc ZOK 50mg 1-0-0, Tritace 2,5mg 1-0-0