Kardiologischer Fall: 79-jähriger Mann mit Schrittmacher und zahnärztlicher Intervention
Über den Vortrag
Der Vortrag „Kardiologischer Fall: 79-jähriger Mann mit Schrittmacher und zahnärztlicher Intervention“ von Joseph Alpert, MD ist Bestandteil des Kurses „Kardiovaskuläre Fallbeispiele“.
Quiz zum Vortrag
A 79-year-old man presents for his scheduled 6-month visit. Three years ago, he had a pacemaker implanted for a complete heart block, which resulted in a syncopal episode. He reports feeling poorly for 2 weeks after a dental procedure to remove several badly infected teeth. He specifically says that he is feeling tired, is sweaty, has lost appetite, and has several shaking chills. His blood pressure is 145/76 mm Hg, heart rate is 92 beats/min, and the temperature is 39.0°C. A CBC shows a white blood cell count of 14,000 cells/µL with 85% PMN cells. Which of the following is the most appropriate next step for diagnosis?
- Echocardiography
- Cardiac MRI
- Chest x-ray
- Chest CT
- Sputum culture
A 79-year-old man presents for his scheduled 6-month visit. Three years ago, he had a pacemaker implanted for a complete heart block, which resulted in a syncopal episode. He reports feeling poorly for 2 weeks after a dental procedure to remove several badly infected teeth. He specifically says that he is feeling tired, is sweaty, has lost appetite, and has several shaking chills. His blood pressure is 145/76 mm Hg, heart rate is 92 beats/min, and the temperature is 39.0°C. A CBC shows a white blood cell count of 14,000 cells/µL with 85% polymorphonuclear cells. Which of the following is the best next step in management?
- Removal of the pacemaker and IV antibiotics
- Urgent heart valve replacement
- Placement of an implantable cardioverter defibrillator
- Oral antibiotics administration
- Removal of the pacemaker and oral antibiotics
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Dozent des Vortrages Kardiologischer Fall: 79-jähriger Mann mit Schrittmacher und zahnärztlicher Intervention
Joseph Alpert, MD
Dr. Joseph Alpert is the Professor of Medicine in the Department of Medicine, Director of Coronary Care and Medical Director of Cardiac Rehabilitation at the University of Arizona (UA) College of Medicine, USA.
He obtained his Medical Degree cum laude from Harvard Medical School in 1969. Currently, he is a member of the Board of Trustees of the Association of Professors of Medicine, and Editor-in-Chief of The American Journal of Medicine.
Due to his achievements, he earned the Gifted Teacher Award from the American College of Cardiology in 2004.
Within Lecturio, Dr. Alpert teaches courses on Cardiology and the Cardiac System.
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