HRDx Case Study #3

HRDx Case Study #3

  • A 66-year-old lady with history of recurrent dizziness and syncope. Ambulatory cardiac monitoring was obtained.
  • During once episode of syncope, atrial fibrillation with was observed. The patient was told that her syncope was
    unlikely to be related to the arrhythmia. The patient subsequently underwent neurologic evaluation with brain CT,
    MRI, MRA, carotid ultrasound, and EEG, which were negative. She was subsequently treated empirically for seizure
    disorder, but without benefit.

HRDx Case Study #3

  • A 57-year old man with recurrent palpitations. Mobile cardiac telemetry was obtained.
  • An urgent notification was sent for a pause secondary to ”high-grade AV block). The provider was considering
    pacemaker implantation.
  • When cardiac monitoring data were reviewed by HRDx, frequent conducted PACs, rather than pathological AV block
    was observed. The diagnosis was revised accordingly, and treatment of PACs, not pacemaker implantation, was
    deemed more appropriate
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