Document Detail


Intermittent claudication caused by frequent premature ventricular complexes: resolution after radiofrequency ablation.
MedLine Citation:
PMID:  18388096     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sebastian Stec; Beata Zaborska; Agnieszka Pilus; Pawel Lewandowski; Piotr Kulakowski
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-04-02
Journal Detail:
Title:  Angiology     Volume:  60     ISSN:  1940-1574     ISO Abbreviation:  Angiology     Publication Date:    2009 Jun-Jul
Date Detail:
Created Date:  2009-07-22     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  378-81     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Postgraduate Medical School, Grochowski Hospital, Warsaw, Poland. smstec@wp.pl
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity / 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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