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Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke

Atrial flutter is a rapid, regular atrial tachyarrhythmia that occurs most commonly in patients with underlying structural heart disease. Spontaneous 1:1 conduction of atrial flutter is indeed rare, but its diagnosis and management is of critical importance. We describe a case of a 65-year-old man w...

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Autores principales: Nigussie, Bisrat, Abaleka, Fuad I, Suhail, Maham, Yimer, Esmael, Rotatori, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308918/
https://www.ncbi.nlm.nih.gov/pubmed/32596092
http://dx.doi.org/10.7759/cureus.8739
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author Nigussie, Bisrat
Abaleka, Fuad I
Suhail, Maham
Yimer, Esmael
Rotatori, Francesco
author_facet Nigussie, Bisrat
Abaleka, Fuad I
Suhail, Maham
Yimer, Esmael
Rotatori, Francesco
author_sort Nigussie, Bisrat
collection PubMed
description Atrial flutter is a rapid, regular atrial tachyarrhythmia that occurs most commonly in patients with underlying structural heart disease. Spontaneous 1:1 conduction of atrial flutter is indeed rare, but its diagnosis and management is of critical importance. We describe a case of a 65-year-old man with hypertension, preserved ejection fraction heart failure, end-stage renal disease, Parkinson’s disease, and Alzheimer’s dementia, in whom atrial flutter was associated with 1:1 atrioventricular conduction. Our patient was hemodynamically unstable with aortic valve endocarditis and recent septic embolic stroke. This case report emphasizes the importance of recognition and management to avoid hemodynamic compromise.
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spelling pubmed-73089182020-06-25 Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke Nigussie, Bisrat Abaleka, Fuad I Suhail, Maham Yimer, Esmael Rotatori, Francesco Cureus Cardiology Atrial flutter is a rapid, regular atrial tachyarrhythmia that occurs most commonly in patients with underlying structural heart disease. Spontaneous 1:1 conduction of atrial flutter is indeed rare, but its diagnosis and management is of critical importance. We describe a case of a 65-year-old man with hypertension, preserved ejection fraction heart failure, end-stage renal disease, Parkinson’s disease, and Alzheimer’s dementia, in whom atrial flutter was associated with 1:1 atrioventricular conduction. Our patient was hemodynamically unstable with aortic valve endocarditis and recent septic embolic stroke. This case report emphasizes the importance of recognition and management to avoid hemodynamic compromise. Cureus 2020-06-21 /pmc/articles/PMC7308918/ /pubmed/32596092 http://dx.doi.org/10.7759/cureus.8739 Text en Copyright © 2020, Nigussie et al. http://creativecommons.org/licenses/by/3.0/ 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 author and source are credited.
spellingShingle Cardiology
Nigussie, Bisrat
Abaleka, Fuad I
Suhail, Maham
Yimer, Esmael
Rotatori, Francesco
Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke
title Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke
title_full Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke
title_fullStr Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke
title_full_unstemmed Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke
title_short Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke
title_sort diagnosis and management of 1:1 atrial flutter in the setting of aortic valve endocarditis and embolic stroke
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308918/
https://www.ncbi.nlm.nih.gov/pubmed/32596092
http://dx.doi.org/10.7759/cureus.8739
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