Monday I found my patient (Ive had her a month now for foot wound vc, no cardiac history) in new afib HR 100, asymptomatic, I found it on vitals assessment. Because she was asymptomatic I didn't send her straight to the ER, I called the PCP. Yesterday they called to let me know they admitted her to the hospital as when they finally saw her (they scheduled a Monday afternoon appt, she cancelled, they rescheduled Tues, she tried to cancel but they refused and insisted she come in) she was fibbing in the 160s, still asymptomatic.
My question being, what would you have done? Clearly if she was SOB, palpitations, etc I would have called EMS and MD office never appeared upset with my calling then but with new afib is it best to go straight to ER or okay to refer patient to PCP?