Approach to Paroxysmal Atrial Fibrillation Type Arrhythmia in a Cardiology Service: A Case Report

• 作者: Amanda Corrêa dos Santos Bartira Ercília Pinheiro da Costa Carolina Gon?alves Pinheiro Carolina Paz Mohamad Isa Daiana Klein Weber Carissimi es dos Santos Gabriela Di Lorenzo Garcia Scherer Gabriela Feltez Janine Koepp Joice Nedel Ott Julia Braga da Silveira Luis Manuel Ley Dominguez Marcus Vinicius de Mello Pinto Michele Paula dos Santos Miriam Viviane Baron Nathália Ken Pereira Iketani Paulo Ricardo Martins Talia Guimarã Vitória Pereira Itaquy
• 来源期刊: 炎症(英文)
• 学科: 医学
• 关键词: Atrial FIBRILLATION Electrical CARDIOVERSION CATHETER Ablation Hypertension OBSTRUCTIVE Sleep APNEA Syndrome
• 年，卷（期）: 2020,（2）
• 页码范围: 9-17
• 页数: 9页
• 分类号: R54

摘要

Atrial fibrillation is a cardiac arrhythmia of high prevalence in the population, especially in the elderly. Its main electrical characteristics are the interval between two successive irregular R waves, absence of P waves and presence of f waves between QRS complexes. The most common symptoms of atrial fibrillation are irregular palpitations associated with dyspnea, dizziness, feeling tired, fatigue and general malaise, but not all patients have any symptoms. The present report presents the history of an elderly patient who arrived at the hospital’s emergency department with irregular heart rhythm and palpitations. The patient’s symptoms, associated with the electrocardiogram results, indicated paroxysmal atrial fibrillation. Electrical cardioversion was performed, and after, cardiac ablation via the femoral vein at the hospital’s cardiology service. There were no complications during the procedure. As a routine imaging exam after ablation, control esophagogastroduodenoscopy was requested to verify that there was no formation of atrio-esophageal fistula developed by the invasive ablation procedure and electrocardiogram, which showed normal sinus rhythm. The patient remained in the cardiac intensive care unit for observation for 24 hours. After the electrical cardioversion and catheter ablation procedures, the patient improved his clinical picture of atrial fibrillation and was discharged after 24 hours of hospitalization. He received treatment to perform at home, to reduce acid reflux into the esophagus and to prevent thrombosis. He did not present pulmonary thromboembolism after hospital discharge. It is believed, therefore, that this form of treatment and management of paroxysmal atrial fibrillation is effective for the solution of the proposed problem and can also serve as a reference for other professionals within the cardiology service.