- 期刊
Dobutamine Facilitates Reversion of Atrial and Ventricular Stunning in a Patient after Catheter Ablation of Persistent Atrial Flutter
並列摘要
The development of cardiomyopathy may be correlated to atrial or to ventricular arrhythmias. The associated heart failure generally starts to improve within days to months of achieving ventricular rhythm control. However, transient myocardial stunning after transcatheter ablation leading to congestive heart failure with cardiogenic shock in tachycardia-induced cardiomyopathy was less mentioned before. A 33-year-old man, presented with a persistent atrial flutter with a rapid ventricular rate for three months, had complications with tachycardia-induced cardiomyopathy [left ventricle (LV) ejection fraction (EF)=35%]. Atrial and ventricular (A/V) stunning with deterioration of the LV function (EF=20%) developed after successful restoration of the sinus rhythm by catheter ablation. His A/V contractility improved after short-term intravenous treatment with dobutamine at 5 μg/kg/min. Four months later, the patient was still in sinus rhythm with an improved LV contractility (EF=50%) and increased atrial contraction wave from 31.5±5.9 cm/sec to 58.7±8.5 cm/sec. This suggests that dobutamine may facilitate reversion of the A/V stunning in patients with tachycardia-induced cardiomyopathy.
延伸閱讀
- Chiang, S. J., Ko, J. T., Tai, C. T., Lin, Y. J., Liu, Y. C., & Chen, S. A. (2007). Catheter Ablation of Idioventricular Ventricular Tachycardia Originating from the Aortic Sinus Cusp. 北市醫學雜誌, 4(2), 190-195. https://doi.org/10.6200/TCMJ.2007.4.2.11
- Chang, H. Y., Yin, W. H., Chiang, M. C., Chong, E., & Feng, A. N. (2012). Successful Catheter Ablation of Focal Atrial Tachycardia from the Aortic Root in a Patient with Prosthetic Aortic Valve. Acta Cardiologica Sinica, 28(4), 341-343. https://www.airitilibrary.com/Article/Detail?DocID=10116842-201212-201301210008-201301210008-341-343
- Yu, H. P., Feng, A. N., Tsai, S. K., Hsiung, M. C., & Yin, W. H. (2014). Transcatheter Repair of Iatrogenic Aortic Perforation Complicating Transseptal Puncture for a Catheter Ablation of Atrial Arrhythmia. Acta Cardiologica Sinica, 30(5), 490-492. https://www.airitilibrary.com/Article/Detail?DocID=10116842-201409-201409300014-201409300014-490-492
- Polymeropoulos, K., Vassilikos, V. P., LilianMantziari, Paraskevaidis, S., Karamitsos, T. D., Mochlas, S., Parcharidis, G., Louridas, G., & Styliadis, I. H. (2011). Ibutilide for the Cardioversion of Paroxysmal Atrial Fibrillation during Radiofrequency Ablation of Supraventricular Tachycardias. Cardiology Research and Practice, 2011(), 280-284-035. https://doi.org/10.4061/2011/270143
- Cheong, K. I., Chuang, W. P., Wu, Y. W., & Huang, S. H. (2019). Successful Resolution of Left Ventricular Thrombus after ST-Elevation Myocardial Infarction by Edoxaban in a Patient with High Bleeding Risk. Acta Cardiologica Sinica, 35(1), 85-88. https://doi.org/10.6515/ACS.201901_35(1).20180912A