| Intermittent claudication caused by frequent premature ventricular complexes: resolution after radiofrequency ablation. | |
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MedLine Citation:
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PMID: 18388096 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A case of a 55-year-old woman with psoriasis and long-lasting history of typical intermittent claudication associated with frequent premature ventricular complexes is reported. Atherosclerotic and nonarterial pathologic conditions were taken into consideration and were excluded. Applying 6-minute walk test and resting and peak-exercise pulsed Doppler ultrasonography, it was possible to prove a decrease in perfusion during exercise-persistent ventricular bigeminy. Rapid improvement in symptoms was observed after a single dose of propafenone; however, it led to a worsening of psoriasis. The patient was referred for radiofrequency ablation. Radiofrequency ablation in the right ventricular outflow tract resulted in complete abolition of premature ventricular complexes and intermittent claudication. The patient remained free of claudication and symptoms related to arrhythmia with an ability to walk more than 5 km, without stopping. Relief of symptoms may be achieved by antiarrhythmic treatment; however, side effects of antiarrhythmic drugs or their ineffectiveness should encourage the use of radiofrequency ablation. |
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Authors:
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Sebastian Stec; Beata Zaborska; Agnieszka Pilus; Pawel Lewandowski; Piotr Kulakowski |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't Date: 2008-04-02 |
Journal Detail:
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Title: Angiology Volume: 60 ISSN: 1940-1574 ISO Abbreviation: Angiology Publication Date: 2009 Jun-Jul |
Date Detail:
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Created Date: 2009-07-22 Completed Date: 2009-07-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: United States |
Other Details:
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Languages: eng Pagination: 378-81 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Postgraduate Medical School, Grochowski Hospital, Warsaw, Poland. smstec@wp.pl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Flow Velocity
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physiology Blood Volume / physiology Catheter Ablation* Electrocardiography Exercise Test Female Femoral Artery / ultrasonography Follow-Up Studies Humans Intermittent Claudication / etiology*, ultrasonography Ischemia / etiology, ultrasonography Leg / blood supply Middle Aged Treatment Outcome Ultrasonography, Doppler, Pulsed Ventricular Premature Complexes / complications*, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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