Document Detail


Atrial fibrillation and pulmonary embolism.
MedLine Citation:
PMID:  18007216     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atrial fibrillation is a rare diagnosis in children and adolescents. We report a case of a 17-year-old previously healthy boy who presented to the emergency department with a 3-week history of shortness of breath, chest pain, and 1 episode of hemoptysis. Symptoms persisted despite a course of antibiotics and anti-inflammatory agents. The patient developed palpitations and was found to be in atrial fibrillation at the time of hospitalization. An extensive workup led to the diagnosis of pulmonary embolism. This case highlights the importance of evaluating for thromboembolic events in pediatric patients presenting with new-onset atrial fibrillation and typical electrocardiogram pattern of cor pulmonale with or without respiratory symptoms.
Authors:
Anita Szwast; Brian Hanna; Maully Shah
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  23     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-16     Completed Date:  2007-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  826-8     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Pennsylvania School of Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19144, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Atrial Fibrillation / etiology*
Blood Sedimentation
C-Reactive Protein / analysis
Chest Pain / etiology
Dyspnea / etiology
Electrocardiography
Factor V / genetics
Hemoptysis / etiology
Humans
Male
Mutation
Oxygen / blood
Pulmonary Embolism / diagnosis*
Chemical
Reg. No./Substance:
0/factor V Leiden; 7782-44-7/Oxygen; 9001-24-5/Factor V; 9007-41-4/C-Reactive Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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