Reversible atrial fibrillation secondary to a mega-oesophagus
Tóm tắt
Atrial fibrillation (AF) is the most common cardiac arrhythmia, and it increases in prevalence with advancing age to about 5% in people older than 65 years. We present a rare case of atrial fibrillation secondary to a mega-oesophagus occurring in an 84-years-old Caucasian woman. The patient had a history of progressive dysphagia and the accumulation of food debris lead to mega-oesophagus. The diagnosis was made by barium swallow and electrocardiogram; evacuations of 300 ml of the food debris lead to complete resolution of the arrhythmia. The possible aetiology leading to this AF is discussed.
Tài liệu tham khảo
Roberts R: Mechanisms of disease: Genetic mechanisms of atrial fibrillation. Nat Clin Pract Cardiovasc Med. 2006, 3 (5): 276-82. 10.1038/ncpcardio0509.
Andrews M, Nelson BP: Atrial fibrillation. Mt Sinai J Med. 2006, 73 (1): 482-92.
Richards WO, Torquati A, Lutfi R: The current treatment of achalasia. Adv Surg. 2005, 39: 285-314. 10.1016/j.yasu.2005.04.002.
Sperry K: Achalasia, the Valsalva maneuver, and sudden death: a case report. J Forensic Sci. 1994, 39 (2): 547-51.
Ren JF, Lin D, Marchlinski FE, Callans DJ, Patel V: Esophageal imaging and strategies for avoiding injury during left atrial ablation for atrial fibrillation. Heart Rhythm. 2006, 3 (10): 1156-61. 10.1016/j.hrthm.2006.06.006.
Ge F, Li Z, Ke M: Abnormal cardiovascular reflexes in patients with achalasia. Chin Med Sci J. 1994, 9 (3): 194-6.
Eckardt VF, Stenner F, Liewen H, Roder R, Koop H, Bernhard G: Autonomic dysfunction in patients with achalasia. Neurogastroenterol Motil. 1995, 7 (1): 55-61.
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