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dc.contributor.authorPittaway, JFen_US
dc.contributor.authorPresern, Een_US
dc.contributor.authorRathod, VSen_US
dc.contributor.authorRathod, KSen_US
dc.contributor.authorDeaner, Aen_US
dc.date.accessioned2015-06-22T16:58:20Z
dc.date.available2015-04-25en_US
dc.date.issued2015-07en_US
dc.identifier.issn0019-4832en_US
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/7766
dc.description.abstractWe 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.en_US
dc.format.extent377 - 380en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofIndian Heart Jen_US
dc.subjectAblationen_US
dc.subjectAtrial flutteren_US
dc.subjectConstrictive pericarditisen_US
dc.subjectHeart failureen_US
dc.subjectAgeden_US
dc.subjectAtrial Flutteren_US
dc.subjectCatheter Ablationen_US
dc.subjectDiureticsen_US
dc.subjectDrug Resistanceen_US
dc.subjectEchocardiographyen_US
dc.subjectElectrocardiographyen_US
dc.subjectFollow-Up Studiesen_US
dc.subjectHumansen_US
dc.subjectMaleen_US
dc.subjectPericarditis, Constrictiveen_US
dc.subjectRadiography, Thoracicen_US
dc.subjectTomography, X-Ray Computeden_US
dc.titleAtrial flutter ablation in a case of diuretic resistant constrictive pericarditis.en_US
dc.typeArticle
dc.identifier.doi10.1016/j.ihj.2015.04.019en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/26304574en_US
pubs.issue4en_US
pubs.notesNot knownen_US
pubs.publication-statusPublisheden_US
pubs.volume67en_US
dcterms.dateAccepted2015-04-25en_US


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