A 68-year-old man has an irregularly irregular pulse and no P waves on the ECG. What is the most important complication to prevent?

Answer and explanation

Correct answer: B. Cardioembolic stroke

  1. Step 1: Atrial fibrillation allows thrombus to form in the left atrial appendage, so anticoagulation prevents stroke. Answer: Cardioembolic stroke. Why not the others: Cardiogenic shock, Aortic dissection and Pulmonary hypertension don't fit.

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