دورية أكاديمية
ST-segment Elevation Following Cardioversion of Atrial Fibrillation in the Emergency Department: Unmasked Myocardial Infarction due to Left Main Coronary Artery Plaque Rupture or Unspecific Finding?
| العنوان: | ST-segment Elevation Following Cardioversion of Atrial Fibrillation in the Emergency Department: Unmasked Myocardial Infarction due to Left Main Coronary Artery Plaque Rupture or Unspecific Finding? |
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| المؤلفون: | Prochnau D; Department of Internal Medicine,Jena University Hospital,Jena,Germany., Surber R; Department of Internal Medicine,Jena University Hospital,Jena,Germany., Hoyme M; Department of Internal Medicine,Jena University Hospital,Jena,Germany., Otto S; Department of Internal Medicine,Jena University Hospital,Jena,Germany., Selle A; Department of Internal Medicine,Jena University Hospital,Jena,Germany., Poerner TC; Department of Internal Medicine,Jena University Hospital,Jena,Germany. |
| المصدر: | CJEM [CJEM] 2017 Jul; Vol. 19 (4), pp. 312-316. Date of Electronic Publication: 2016 Sep 13. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 100893237 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1481-8043 (Electronic) Linking ISSN: 14818035 NLM ISO Abbreviation: CJEM Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2021- : [London] : Springer Original Publication: Ottawa : Canadian Medical Association, c1999- |
| مواضيع طبية MeSH: | Electric Countershock*, Atrial Fibrillation/*complications , Atrial Fibrillation/*therapy , Myocardial Infarction/*etiology , Myocardial Infarction/*surgery , Plaque, Atherosclerotic/*complications, Aged, 80 and over ; Anticoagulants/therapeutic use ; Catheter Ablation ; Emergency Service, Hospital ; Humans ; Male ; Myocardial Infarction/diagnostic imaging ; Pacemaker, Artificial ; Plaque, Atherosclerotic/diagnostic imaging ; Rupture, Spontaneous ; Stents ; Tomography, Optical Coherence |
| مستخلص: | Atrial fibrillation (AF) is a frequent reason for emergency department visits. According to current guidelines either rate- or rhythm-control are acceptable therapeutic options in such situations. In this report, we present the complicated clinical course of a patient with AF and a rapid ventricular response. Because of paroxysmal AF, the patient was on chronic oral anticoagulation therapy with warfarin. Pharmacological treatment was ineffective to control ventricular rate, and immediate synchronized electrical cardioversion was performed. One hour later, the patient complained of chest pain in combination with marked ST-segment elevation in the anterior leads. Cardiac catheterization with optical coherence tomography disclosed plaque rupture in the left main coronary artery without other significant stenosis. Stent implantation was performed successfully. During the course of the hospital stay, the patient remained asymptomatic and the ST-segment elevations resolved. However, despite treatment with amiodarone it was not possible to keep the patient permanently in sinus rhythm. Therefore, a biventricular pacemaker was implanted and AV node ablation performed. |
| فهرسة مساهمة: | Keywords: STEMI; atrial fibrillation; emergency department; immediate cardioversion; left main artery; plaque rupture |
| المشرفين على المادة: | 0 (Anticoagulants) |
| تواريخ الأحداث: | Date Created: 20160914 Date Completed: 20180521 Latest Revision: 20180521 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1017/cem.2016.352 |
| PMID: | 27619976 |
| قاعدة البيانات: | MEDLINE |
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