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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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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. |
format | Online Article Text |
id | pubmed-7308918 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
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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