Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome

Atrial fibrillation is a common arrhythmia in patients suffering from acute myocardial infarction, however its pathophysiological mechanisms are not fully understood. We describe the unusual case of a 76-year old woman admitted for non-ST-segment elevation myocardial infarction, who developed multip...

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Autores principales: De Mattia, Luca, Brieda, Marco, Dametto, Ermanno, Del Bianco, Federica, Nicolosi, Gian Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Heart Rhythm Society 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273953/
https://www.ncbi.nlm.nih.gov/pubmed/22368378
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author De Mattia, Luca
Brieda, Marco
Dametto, Ermanno
Del Bianco, Federica
Nicolosi, Gian Luigi
author_facet De Mattia, Luca
Brieda, Marco
Dametto, Ermanno
Del Bianco, Federica
Nicolosi, Gian Luigi
author_sort De Mattia, Luca
collection PubMed
description Atrial fibrillation is a common arrhythmia in patients suffering from acute myocardial infarction, however its pathophysiological mechanisms are not fully understood. We describe the unusual case of a 76-year old woman admitted for non-ST-segment elevation myocardial infarction, who developed multiple episodes of paroxysmal atrial fibrillation triggered by monomorphic ventricular couplets. Beta-blocking and amiodarone therapy resulted efficacious in preventing arrhythmic recurrences. We then discuss the possible arrhythmogenic mechanisms, with special emphasis on the unique electrophysiological, hemodynamic, cellular and anatomical milieu created by acute myocardial ischemia.
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spelling pubmed-32739532012-02-24 Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome De Mattia, Luca Brieda, Marco Dametto, Ermanno Del Bianco, Federica Nicolosi, Gian Luigi Indian Pacing Electrophysiol J Case Report Atrial fibrillation is a common arrhythmia in patients suffering from acute myocardial infarction, however its pathophysiological mechanisms are not fully understood. We describe the unusual case of a 76-year old woman admitted for non-ST-segment elevation myocardial infarction, who developed multiple episodes of paroxysmal atrial fibrillation triggered by monomorphic ventricular couplets. Beta-blocking and amiodarone therapy resulted efficacious in preventing arrhythmic recurrences. We then discuss the possible arrhythmogenic mechanisms, with special emphasis on the unique electrophysiological, hemodynamic, cellular and anatomical milieu created by acute myocardial ischemia. Indian Heart Rhythm Society 2012-01-31 /pmc/articles/PMC3273953/ /pubmed/22368378 Text en Copyright: © 2012 De Mattia et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
De Mattia, Luca
Brieda, Marco
Dametto, Ermanno
Del Bianco, Federica
Nicolosi, Gian Luigi
Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome
title Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome
title_full Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome
title_fullStr Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome
title_full_unstemmed Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome
title_short Paroxysmal Atrial Fibrillation Triggered By A Monomorphic Ventricular Couplet In A Patient With Acute Coronary Syndrome
title_sort paroxysmal atrial fibrillation triggered by a monomorphic ventricular couplet in a patient with acute coronary syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273953/
https://www.ncbi.nlm.nih.gov/pubmed/22368378
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