Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. In this ‘Cardiology Case Challenge’, join your fellow doctors to discuss and answer today’s question on diagnosing this case. A 80-year-old woman comes to your clinic with complaints of palpitations, syncope, 4 episodes of fall since 3-4 months with no history of chest pain, nausea or vomiting. Upon physical examination, you observe that her pulse is irregularly irregular with a rate of 132 beats/min.

BP is 100/80 mmHg. Her apex rate is 152 beats/min, with no discernable murmurs. She has bilateral crackles in her lung bases . Source: Clinical Cases Uncovered – General Practice