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    Atrial flutter ablation in a case of diuretic resistant constrictive pericarditis. 
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    • Atrial flutter ablation in a case of diuretic resistant constrictive pericarditis.
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    Atrial flutter ablation in a case of diuretic resistant constrictive pericarditis.

    Volume
    67
    Pagination
    377 - 380
    DOI
    10.1016/j.ihj.2015.04.019
    Journal
    Indian Heart J
    Issue
    4
    ISSN
    0019-4832
    Metadata
    Show full item record
    Abstract
    We present a 66 year old gentleman with constrictive pericarditis and persistent atrial flutter. Initial management with oral loop diuretics was successful until he developed persistent atrial flutter. Once in atrial flutter the patient developed progressive signs of right heart failure resistant to high dose intravenous loop diuretics. He was referred to a tertiary electrophysiology service where he underwent successful isthmus catheter ablation and reverted to sinus rhythm. His responsiveness to diuretics improved immediately. His symptoms improved and he was discharged 48 h later on oral diuretics. He remains well one month after discharge. This is the first reported case of symptomatic improvement in a patient with constrictive pericarditis and persistent atrial flutter with targeted treatment of the dysrhythmia. This offers a possible short-term palliation option in a group of patients where definitive surgical management carries too high a risk.
    Authors
    Pittaway, JF; Presern, E; Rathod, VS; Rathod, KS; Deaner, A
    URI
    http://qmro.qmul.ac.uk/xmlui/handle/123456789/7766
    Collections
    • Centre for Clinical Pharmacology [870]
    Language
    eng
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