paroxysmal atrial fibrillation triggered by a monomorphic ventricular couplet in a patient with acute coronary syndrome

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ID: 140806
2012
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Ranked #12 of 63 articles by views in Medical decision making : an international journal of the Society for Medical Decision Making

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Abstract
Atrial fibrillation is a common arrhythmia in patients suffering from acute myocardial infarction, however its pathophysiological mechanisms are not fully understood. We describe the unusual case of a 76-year old woman admitted for non-ST-segment elevation myocardial infarction, who developed multiple episodes of paroxysmal atrial fibrillation triggered by monomorphic ventricular couplets. Beta-blocking and amiodarone therapy resulted efficacious in preventing arrhythmic recurrences. We then discuss the possible arrhythmogenic mechanisms, with special emphasis on the unique electrophysiological, hemodynamic, cellular and anatomical milieu created by acute myocardial ischemia.
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Authors ;Luca De Mattia, MD;Marco Brieda, MD;Ermanno Dametto, MD;Federica Del Bianco, MD;Gian Luigi Nicolosi, MD, FACC, FESC
Journal Medical decision making : an international journal of the Society for Medical Decision Making
Year 2012
DOI
10.1016/S0972-6292(16)30460-0
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