Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report

BACKGROUND: Atrial fibrillation (AF) is a common arrhythmia in patients with hypertrophic cardiomyopathy (HCM) and can deteriorate haemodynamic status. CASE SUMMARY: We report a case of a 77-year-old woman with cardiogenic shock due to paroxysmal AF, complicated with HCM and aortic stenosis. Atrial...

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Autores principales: Yakabe, Daisuke, Araki, Masahiro, Furukawa, Kojiro, Nakamura, Toshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319856/
https://www.ncbi.nlm.nih.gov/pubmed/32617511
http://dx.doi.org/10.1093/ehjcr/ytaa093
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author Yakabe, Daisuke
Araki, Masahiro
Furukawa, Kojiro
Nakamura, Toshihiro
author_facet Yakabe, Daisuke
Araki, Masahiro
Furukawa, Kojiro
Nakamura, Toshihiro
author_sort Yakabe, Daisuke
collection PubMed
description BACKGROUND: Atrial fibrillation (AF) is a common arrhythmia in patients with hypertrophic cardiomyopathy (HCM) and can deteriorate haemodynamic status. CASE SUMMARY: We report a case of a 77-year-old woman with cardiogenic shock due to paroxysmal AF, complicated with HCM and aortic stenosis. Atrial fibrillation was successfully managed with temporary atrial pacing and administration of nifekalant hydrochloride without invasive mechanical circulatory support until surgery. Septal myectomy, aortic valve replacement, and pulmonary vein isolation were performed. DISCUSSION: This case suggests that atrial pacing and nifekalant may be safe and effective for rhythm control.
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spelling pubmed-73198562020-07-01 Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report Yakabe, Daisuke Araki, Masahiro Furukawa, Kojiro Nakamura, Toshihiro Eur Heart J Case Rep Case Reports BACKGROUND: Atrial fibrillation (AF) is a common arrhythmia in patients with hypertrophic cardiomyopathy (HCM) and can deteriorate haemodynamic status. CASE SUMMARY: We report a case of a 77-year-old woman with cardiogenic shock due to paroxysmal AF, complicated with HCM and aortic stenosis. Atrial fibrillation was successfully managed with temporary atrial pacing and administration of nifekalant hydrochloride without invasive mechanical circulatory support until surgery. Septal myectomy, aortic valve replacement, and pulmonary vein isolation were performed. DISCUSSION: This case suggests that atrial pacing and nifekalant may be safe and effective for rhythm control. Oxford University Press 2020-05-14 /pmc/articles/PMC7319856/ /pubmed/32617511 http://dx.doi.org/10.1093/ehjcr/ytaa093 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Yakabe, Daisuke
Araki, Masahiro
Furukawa, Kojiro
Nakamura, Toshihiro
Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report
title Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report
title_full Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report
title_fullStr Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report
title_full_unstemmed Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report
title_short Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report
title_sort atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319856/
https://www.ncbi.nlm.nih.gov/pubmed/32617511
http://dx.doi.org/10.1093/ehjcr/ytaa093
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AT furukawakojiro atrialpacingandadministrationofnifekalanthydrochlorideforunstableatrialfibrillationacasereport
AT nakamuratoshihiro atrialpacingandadministrationofnifekalanthydrochlorideforunstableatrialfibrillationacasereport

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