A 73-year-old male patient with a past medical history of typical atrial flutter treated with catheter ablation of the CTI at the age of 67, recurrent symptomatic paroxysmal atrial fibrillation and atypical atrial flutter treated with catheter ablation 1 week prior to his presentation to the hospital, and amiodarone-induced hyperthyroidism was admitted to the Cardiology Department complaining of palpitations accompanied by asthenia and dyspnea on exertion, symptoms that had started 3 h prior to his presentation to the Emergency Department. The patient was on chronic antiarrhythmic treatment with Flecainide 200 mg/day, which was continued after the catheter ablation procedure. His GFR at admittance was 35 mL/min, compared to 55 mL/min 1 week prior. Transthoracic echocardiography showed an LVEF of 50%.

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ECG 38

  • Razvan Mada

摘要

A 73-year-old male patient with a past medical history of typical atrial flutter treated with catheter ablation of the CTI at the age of 67, recurrent symptomatic paroxysmal atrial fibrillation and atypical atrial flutter treated with catheter ablation 1 week prior to his presentation to the hospital, and amiodarone-induced hyperthyroidism was admitted to the Cardiology Department complaining of palpitations accompanied by asthenia and dyspnea on exertion, symptoms that had started 3 h prior to his presentation to the Emergency Department. The patient was on chronic antiarrhythmic treatment with Flecainide 200 mg/day, which was continued after the catheter ablation procedure. His GFR at admittance was 35 mL/min, compared to 55 mL/min 1 week prior. Transthoracic echocardiography showed an LVEF of 50%.