Case #4812 · Post-op AFib management

Patient

42M

Comorbidities

Post-MI

Renal

—

Allergies

—

Current relevant meds

Metoprolol, atorvastatin, aspirin

1. JODr. Okafor(Family Medicine)· 5d ago

   42M, post-MI, new murmur. Echo in 3 weeks. Should I hold beta-blocker?

2. MCDr. Chen(Cardiology)· 5d ago

   Impression

   New murmur post-MI needs an earlier echo; no reason to stop the beta-blocker.

   Recommendation

   1. Continue metoprolol.
   2. Move the echo up to this week to exclude a mechanical complication.

   Workup

   • ☑ Echo (expedited)

   Follow-up

   After the echo.

   Escalation flag

   None — appropriate for primary management

Resolved: Recommendation accepted

Requested by

JODr. James Okafor (Family Medicine, Columbus, OH)

Responded by

MCDr. Marcus Chen (Cardiology, Columbus, OH)

Specialty

Cardiology

Time to first response

7h

Thread time

24h

Credits

−1 request · +1 response