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A Fast Beat Requires Closer Attention

A Fast Beat Requires Closer Attention

I recommend obtaining an ECG in any older patient whose heart rate is more than 100 beats per minute on several occasions. Although it is easy to chalk up such findings to "nerves," "white coat phenomenon," or a morning cup of coffee, I have caught a few cases of asymptomatic atrial fibrillation this way.

—— Nathan Hitzeman, MD
Sacramento, Calif

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