Male, 65 yo, prev atrial fib on 10/1, today short of breath, fatigue, erratic heartbeat, all after moving boxes. go to er? had other incidents of a. fib. today heartbeat was initially 124 (at carotid) & erratic. then down to 82, still erratic. he looks un

Abnormal: One likely needs medication adjustment which can be done at your cardiologist and avoid the er and excess charges for a new patient work up.

Yes: If you have had prior episodes of atrial fibrillation, are on treatment, and are back in a-fib and symptomatic, it needs to be treated. Go to the ed for immediate therapy and follow-up with your cardiologist.