Diagnosis and Management of 1:1 Atrial Flutter in the Setting of Aortic Valve Endocarditis and Embolic Stroke.

1:1 atrial flutter aortic valve endocarditis atrial flutter cardioversion endocarditis septic embolic stroke

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
21 Jun 2020
Historique:
entrez: 30 6 2020
pubmed: 1 7 2020
medline: 1 7 2020
Statut: epublish

Résumé

Atrial flutter is a rapid, regular atrial tachyarrhythmia that occurs most commonly in patients with underlying structural heart disease. Spontaneous 1:1 conduction of atrial flutter is indeed rare, but its diagnosis and management is of critical importance. We describe a case of a 65-year-old man with hypertension, preserved ejection fraction heart failure, end-stage renal disease, Parkinson's disease, and Alzheimer's dementia, in whom atrial flutter was associated with 1:1 atrioventricular conduction. Our patient was hemodynamically unstable with aortic valve endocarditis and recent septic embolic stroke. This case report emphasizes the importance of recognition and management to avoid hemodynamic compromise.

Identifiants

pubmed: 32596092
doi: 10.7759/cureus.8739
pmc: PMC7308918
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e8739

Informations de copyright

Copyright © 2020, Nigussie et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Bisrat Nigussie (B)

Internal Medicine, Richmond University Medical Center, Staten Island, USA.

Fuad I Abaleka (FI)

Internal Medicine, Richmond University Medical Center, Staten Island, USA.

Maham Suhail (M)

Internal Medicine, Richmond University Medical Center, Staten Island, USA.

Esmael Yimer (E)

Internal Medicine, Richmond University Medical Center, Staten Island, USA.

Francesco Rotatori (F)

Cardiovascular Medicine, Richmond University Medical Center, Staten Island, USA.

Classifications MeSH