Document Detail

Left ventricular ischemia due to coronary stenosis as an unexpected treatable cause of paroxysmal atrial fibrillation.
MedLine Citation:
PMID:  10090226     Owner:  NLM     Status:  MEDLINE    
We present a patient with exercise-induced paroxysmal atrial fibrillation who was eventually scheduled for a Cox-maze operation due to persistence of his complaints of fatigue, impaired exercise tolerance, and predominantly exercise-related irregular palpitations despite treatment with several antiarrhythmic drugs. A preoperative exercise stress test without antiarrhythmic or negative chronotropic drugs, however, showed clear evidence of myocardial ischemia. After coronary angioplasty of a significant stenosis in the left anterior descending artery, there was no recurrence of atrial fibrillation during a follow-up of 7 months.
B A Schoonderwoerd; I C Van Gelder; H J Crijns
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  10     ISSN:  1045-3873     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-20     Completed Date:  1999-05-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  224-8     Citation Subset:  IM    
Department of Cardiology, Thoraxcenter, University Hospital Groningen, The Netherlands.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Atrial Fibrillation / etiology,  physiopathology,  therapy*
Coronary Angiography
Coronary Disease / complications
Exercise Test
Follow-Up Studies
Myocardial Ischemia / diagnosis,  etiology*,  therapy
Tachycardia, Paroxysmal / etiology,  physiopathology,  therapy*
Ventricular Dysfunction, Left / diagnosis,  etiology*,  therapy

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