Yakabe D, Araki M, Furukawa K, Nakamura T. Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report.
EUROPEAN HEART JOURNAL-CASE REPORTS 2020;
4:1-5. [PMID:
32617511 PMCID:
PMC7319856 DOI:
10.1093/ehjcr/ytaa093]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 12/21/2019] [Accepted: 04/01/2020] [Indexed: 11/23/2022]
Abstract
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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