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Very commonly, I have patients come in with a condition called BPPV, benign positional paroxysmal vertigo.
And paroxysmal means it doesn't happen all the time.
This is strange because if 2/3 were in sinus rhythm, they must have had PAF paroxysmal afib.
So if they have paroxysmal afib, I'm wondering why weren't they ablated to get rid of the AFib?
A 37-year-old woman with morbid obesity, BMI of 58—that's not a typo—with stage D nonischemic cardiomyopathy, longstanding persistent atrial fibrillation, presents to a referring facility with sudden-onset exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.