Acute Renal Infarction Heralds New-Onset Paroxysmal Atrial Fibrillation.
abdominal pain
anticoagulation
atrial fibrillation
hematuria
renal infarction
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
accepted:
24
01
2022
entrez:
28
2
2022
pubmed:
1
3
2022
medline:
1
3
2022
Statut:
epublish
Résumé
Acute renal infarcts may be asymptomatic or occur with flank pain, nausea, vomiting, or hematuria. Given the non-specific symptomatology, many acute renal infarcts are misdiagnosed or not diagnosed at all. Most are diagnosed with contrast-enhanced computed tomography. A high index of suspicion should be maintained, especially for patients with cardiovascular risk factors. A negative workup for the etiology of a renal infarction should prompt cardiac monitoring for paroxysmal atrial fibrillation because this is the primary etiology in up to one-third of cases. Treatment of atrial fibrillation reduces the risk of recurrent renal infarction as well as stroke. Early diagnosis of acute renal infarction in a select group of patients may allow for endovascular intervention to re-establish vascular patency. Here, we review the case of a 43-year-old man with no significant medical history who presented with flank pain in the setting of an acute renal infarct.
Identifiants
pubmed: 35223324
doi: 10.7759/cureus.21554
pmc: PMC8865364
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e21554Informations de copyright
Copyright © 2022, Kolachana et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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