A 63-year-old male was admitted to the hospital with blurry vision for 3 days. He has been in a remarkably good health apart from an episode of atrial fibrillation 6 years ago. The patient has been running 2 km every day for the last 20 years and has practiced yoga daily. PMH Atrial fibrillation status post (s/p) catheter ablation 6 years ago. Medications None. Physical examination HR 140. CVS: Clear S1S2, irregularly irregular rhythm. Chest: CTA (B).
Abdomen: Soft, NT, ND, +BS. Extremities: no c/c/e. Neurological examination: Non-focal. Diagnostic tests The EKG showed atrial fibrillation with rapid ventricular response (AFib with RVR). The CT scan of the brain showed an occipital ischemic stroke. Final diagnosis Occipital stroke due to atrial fibrillation. Treatment The heart rate was controlled with a beta blocker (metoprolol). The neurology consultant recommended an MRI of the brain…
