Atrial fibrillation with a very rapid ventricular response as the first clinical arrhythmia in a 76-year-old man.
Identifieur interne : 000351 ( Ncbi/Curation ); précédent : 000350; suivant : 000352Atrial fibrillation with a very rapid ventricular response as the first clinical arrhythmia in a 76-year-old man.
Auteurs : Béatrice Brembilla-Perrot [France] ; Pierre Houriez ; Daniel Beurrier ; Pierre Louis ; Michel Boursier ; Khalifé KhaliféSource :
- Pacing and clinical electrophysiology : PACE [ 0147-8389 ] ; 2003.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Atrial Fibrillation, Heart Conduction System, Wolff-Parkinson-White Syndrome.
- surgery : Atrial Fibrillation, Wolff-Parkinson-White Syndrome.
- Aged, Catheter Ablation, Exercise Test, Humans, Male.
Abstract
The interest of electrohysiological study for the prognostic evaluation of asymptomatic Wolff-Parkinson-White (WPW) syndrome remains controversial. We report the case of an asymptomatic 67-year-old man without heart disease in whom a type A WPW syndrome was noted. Because the WPW was unchanged during exercise testing, transesophageal EPS was performed. In basal state, 1/1 conduction through the Kent bundle was noted up to a rate of 210 beats/min. After infusion of 30 microg of isoproterenol, atrial pacing was associated with a 1/1 conduction throughout the Kent bundle at a rate at 300 beats/min and induced rapid atrial fibrillation which was stopped by flecainide. No treatment was indicated. Nine years later, at age 76, the patient developed syncope related to rapid atrial fibrillation requiring cardioversion. In conclusion, the occurrence of a potentially lethal supraventricular tachyarrhythmia in a previously asymptomatic patient with WPW syndrome might be encountered in elderly patients. Transesophageal electrophysiological evaluation is a useful means to predict this risk.
PubMed: 12877714
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001092
- to stream PubMed, to step Curation: Pour aller vers cette notice dans l'étape Curation :001051
- to stream PubMed, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :001051
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :000351
Links to Exploration step
pubmed:12877714Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Atrial fibrillation with a very rapid ventricular response as the first clinical arrhythmia in a 76-year-old man.</title><author><name sortKey="Brembilla Perrot, Beatrice" sort="Brembilla Perrot, Beatrice" uniqKey="Brembilla Perrot B" first="Béatrice" last="Brembilla-Perrot">Béatrice Brembilla-Perrot</name><affiliation wicri:level="3"><nlm:affiliation>Cardiology Department, CHU of Brabois, 54500 Vandoeuvre Les Nancy, France. b.brembilla-perrot@chu-nancy.Fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Cardiology Department, CHU of Brabois, 54500 Vandoeuvre Les Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Houriez, Pierre" sort="Houriez, Pierre" uniqKey="Houriez P" first="Pierre" last="Houriez">Pierre Houriez</name></author><author><name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name></author><author><name sortKey="Louis, Pierre" sort="Louis, Pierre" uniqKey="Louis P" first="Pierre" last="Louis">Pierre Louis</name></author><author><name sortKey="Boursier, Michel" sort="Boursier, Michel" uniqKey="Boursier M" first="Michel" last="Boursier">Michel Boursier</name></author><author><name sortKey="Khalife, Khalife" sort="Khalife, Khalife" uniqKey="Khalife K" first="Khalifé" last="Khalifé">Khalifé Khalifé</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2003">2003</date><idno type="RBID">pubmed:12877714</idno><idno type="pmid">12877714</idno><idno type="wicri:Area/PubMed/Corpus">001092</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001092</idno><idno type="wicri:Area/PubMed/Curation">001051</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001051</idno><idno type="wicri:Area/PubMed/Checkpoint">001051</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001051</idno><idno type="wicri:Area/Ncbi/Merge">000351</idno><idno type="wicri:Area/Ncbi/Curation">000351</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Atrial fibrillation with a very rapid ventricular response as the first clinical arrhythmia in a 76-year-old man.</title><author><name sortKey="Brembilla Perrot, Beatrice" sort="Brembilla Perrot, Beatrice" uniqKey="Brembilla Perrot B" first="Béatrice" last="Brembilla-Perrot">Béatrice Brembilla-Perrot</name><affiliation wicri:level="3"><nlm:affiliation>Cardiology Department, CHU of Brabois, 54500 Vandoeuvre Les Nancy, France. b.brembilla-perrot@chu-nancy.Fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Cardiology Department, CHU of Brabois, 54500 Vandoeuvre Les Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Houriez, Pierre" sort="Houriez, Pierre" uniqKey="Houriez P" first="Pierre" last="Houriez">Pierre Houriez</name></author><author><name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name></author><author><name sortKey="Louis, Pierre" sort="Louis, Pierre" uniqKey="Louis P" first="Pierre" last="Louis">Pierre Louis</name></author><author><name sortKey="Boursier, Michel" sort="Boursier, Michel" uniqKey="Boursier M" first="Michel" last="Boursier">Michel Boursier</name></author><author><name sortKey="Khalife, Khalife" sort="Khalife, Khalife" uniqKey="Khalife K" first="Khalifé" last="Khalifé">Khalifé Khalifé</name></author></analytic><series><title level="j">Pacing and clinical electrophysiology : PACE</title><idno type="ISSN">0147-8389</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Atrial Fibrillation (physiopathology)</term><term>Atrial Fibrillation (surgery)</term><term>Catheter Ablation</term><term>Exercise Test</term><term>Heart Conduction System (physiopathology)</term><term>Humans</term><term>Male</term><term>Wolff-Parkinson-White Syndrome (physiopathology)</term><term>Wolff-Parkinson-White Syndrome (surgery)</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Atrial Fibrillation</term><term>Heart Conduction System</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Atrial Fibrillation</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Catheter Ablation</term><term>Exercise Test</term><term>Humans</term><term>Male</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The interest of electrohysiological study for the prognostic evaluation of asymptomatic Wolff-Parkinson-White (WPW) syndrome remains controversial. We report the case of an asymptomatic 67-year-old man without heart disease in whom a type A WPW syndrome was noted. Because the WPW was unchanged during exercise testing, transesophageal EPS was performed. In basal state, 1/1 conduction through the Kent bundle was noted up to a rate of 210 beats/min. After infusion of 30 microg of isoproterenol, atrial pacing was associated with a 1/1 conduction throughout the Kent bundle at a rate at 300 beats/min and induced rapid atrial fibrillation which was stopped by flecainide. No treatment was indicated. Nine years later, at age 76, the patient developed syncope related to rapid atrial fibrillation requiring cardioversion. In conclusion, the occurrence of a potentially lethal supraventricular tachyarrhythmia in a previously asymptomatic patient with WPW syndrome might be encountered in elderly patients. Transesophageal electrophysiological evaluation is a useful means to predict this risk.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonFranceV1/Data/Ncbi/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000351 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd -nk 000351 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonFranceV1
|flux= Ncbi
|étape= Curation
|type= RBID
|clé= pubmed:12877714
|texte= Atrial fibrillation with a very rapid ventricular response as the first clinical arrhythmia in a 76-year-old man.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/RBID.i -Sk "pubmed:12877714" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd \
| NlmPubMed2Wicri -a ParkinsonFranceV1
| This area was generated with Dilib version V0.6.29. |  |