Atrial Septal Defect.

ASD-Ostium Secundum with Af. Chief Complaints A 42 yr old male attended Mopd with Anxiety and palpitation since few hours. No associated chest pain,SOB,Dizziness, Vomiting, Fever ,LOC etc. No H/O HTN,DM,Thyroid disorder. He is occasional Alcoholic. K/C/O of Ostium Secundum - ASD,dilated RA and RV ,Hypothyroidism. General Examination is normal except PR of 194/min irregularly irregular. BP of 110/ 70. His ECG was done showing Af with FVR. Anti arrhythmic drug along Anti coagulant has been started. His rate is controlled now

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Is he taking eltroxin for hypothyroidism??

No sir..he has stopped medicine since 1 month.
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Congenital anomaly

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