Chronic AF with RVR
Patient with known history of atrial fibrillation on Diltiazem and Coumadin is admitted with atrial fibrillation with RVR with a HR of 150 BPM on arrival. They were placed on a Diltiazem drip after no improvement in the HR after a dose of Diltiazem IVP and PO. The Cardiologist documents that a review of all EKGs and rhythm strips dating back to 2015 reveal atrial fibrillation therefore her diagnosis is chronic atrial fibrillation. He also notes currently patients HR is predominately in the 90s and occasionally into the 80 -100s. Recommends weaning off the Diltiazem drip.
Does the above documentation warrant a query to see if this paroxysmal atrial fibrillation in addition to chronic atrial fibrillation?