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When Rate Control Fails: A Case Challenge in the Management of a Complex Cardiac Arrhythmia in an Older Adult

Year: 2026

Type: article

Abstract: J.D. is an 82-year-old man with a 12-year history of atrial fibrillation (AF), now long-standing persistent, who presents to his nurse practitioner (NP) with worsening symptoms consistent with New York Heart Association class III functional limitation,1 including 6 months of progressive fatigue and exertional dyspnea. Despite an exhaustive pharmacologic course including optimized rate-control agents, electrical cardioversion, and antiarrhythmic therapy, his ventricular rate remains poorly controlled, and his functional capacity continues to decline.

Source: The Journal for Nurse Practitioners

DOI: 10.1016/j.nurpra.2026.105945

Authors: Mohamed Toufic El Hussein, Mohammed (Mido) Ibrahim

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,590

OpenAlex ID: W7168731379

FWCI:

Cites: 8

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