From:  Two cases of exercise-related arrhythmia: hemodynamic correlates and short-term response to bisoprolol

 Timeline of clinical events in Case 1.

Date/TimeEventDetails/FindingsManagement/Outcome
Day 0—fatigue and dizziness perceivedReferred to our hospitalDiagnosis of dyslipidemia and HFDietary lipid and salt restriction
Day 1—palpitation perceivedAdmissionSVPCs recorded in the ECGECG monitoring observation
Day 8—dizziness disappearedCardiac rehabilitation startedDiet therapy continued
Day 24—palpitation continuedFirst EST attemptedSVPCs and AF observed in ESTBisoprolol administered
Day 38—palpitation improvedSecond EST attemptedSVPCs diminished and AF not induced by ESTBisoprolol continued
Day 48—fatigue improvedDischarge, introduced to the previous clinicSVPCs diminished in the ECG monitorBisoprolol continued, diet therapy continued

AF: atrial fibrillation; ECG: electrocardiogram; EST: ergometric stress test; HF: heart failure; SVPCs: supraventricular premature contractions.