Atrial fibrillation diagnosed on sternotomy !

#echofirst AFib seen on visualization of the right atrial appendage. I always tell the trainees that inspecting the heart is the best way to diagnosis cardiac rhythm but stop short of advocating sternotomy for that purpose alone pic.twitter.com/RlByLzl2Ra

— Donald Oxorn🇨🇦 (@donoxorn) June 11, 2018