RF ablation of longstanding persistent atrial fibrillation in patient with familial dilated cardiomyopathy

被引：0

作者：

Derejko, Pawel ^{[1
]}

Zakrzewska, Joanna ^{[1
]}

Szumowski, Lukasz ^{[1
]}

Szufladowicz, Ewa ^{[1
]}

Bodalski, Robert ^{[1
]}

Michalek, Piotr ^{[1
]}

Walczak, Ewa ^{[2
]}

Bilinska, Zofia T. ^{[1
]}

Walczak, Franciszek ^{[1
]}

机构：

[1] Inst Kardiol, Klin Zaburzen Rytmu Serca, PL-04628 Warsaw, Poland

[2] Inst Reumatol, Zaklad Anatomii Patologicznej, Warsaw, Poland

来源：

KARDIOLOGIA POLSKA | 2008年 / 66卷 / 01期

关键词：

longstanding persistent AF/AFL; familial dilated cardiomyopathy; RF ablation;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A vicious circle of interactions between dilated cardiomyopathy and longstanding persistent AF/AFL may cause symptoms of advanced congestive heart failure. In a 31-year-old patient with diagnosis of familial dilated cardiomyopathy and permanent AF lasting for five years, gradually decreased left ventricular ejection fraction (LVEF) and increased diameter of heart chambers - left ventricular diastolic dimension (LVdD) 7.7 cm, left atrium (LA) 5.4 cm, and LVEF 15% were noted. Pharmacological treatment was ineffective Successful RF ablation of AF/AFL substrate (CTI block, PVs isolation, CFAE ablation, roof and MIG line, CS applications) reversed symptoms of significant heart remodeling (LVdD 5.9 cm, LA 4.3 cm, LVEF 50%).

引用

页码：109 / 113

页数：5

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