I consider this an urgent need to have an EKG to determine the nature of his irregular heart rhythm. Atrial fibrillation, an irregularly irregular cardiac rhythm, in the presence of Wolf Parkinson White syndrome can go on to have a very rapid ventricular rate if transmission of atrial impulses travel down the accessory pathway. New onset A fib, even without WPW requires immediate attention also
Answered 9/18/2022
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