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YSM ONLINE CASEBOOK YALE UNIVERSITY SCHOOL OF MEDICINE
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Discussion

 

The resident admitting the patient to you is worried about a neurological process and orders an EEG and head CT. The attending physician is more worried about a cardiac cause and wants to obtain a cardiac echo, as well as ambulatory EKG monitoring for a possible arrhythmia.

  1. Which one do you agree with, if either? Why or why not?

 

A head CT and EEG are performed and are normal. A cardiac echo reveals normal ventricular function, normal chamber sizes and no vavular abnormalities. The patient's brother is a cardiologist and wants the patient to be referred for electrophysiologic testing. Do you agree?

  1. In very simple terms, what are the basic principles of electrophysiologic testing and would it help in the assessment of this patient?

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