Left ventricular ischemia due to coronary stenosis as an unexpected treatable cause of paroxysmal atrial fibrillation

B A Schoonderwoerd; I C Van Gelder; H J Crijns

doi:10.1111/j.1540-8167.1999.tb00664.x

Left ventricular ischemia due to coronary stenosis as an unexpected treatable cause of paroxysmal atrial fibrillation

J Cardiovasc Electrophysiol. 1999 Feb;10(2):224-8. doi: 10.1111/j.1540-8167.1999.tb00664.x.

Authors

B A Schoonderwoerd¹, I C Van Gelder, H J Crijns

Affiliation

¹ Department of Cardiology, Thoraxcenter, University Hospital Groningen, The Netherlands.

PMID: 10090226
DOI: 10.1111/j.1540-8167.1999.tb00664.x

Abstract

We present a patient with exercise-induced paroxysmal atrial fibrillation who was eventually scheduled for a Cox-maze operation due to persistence of his complaints of fatigue, impaired exercise tolerance, and predominantly exercise-related irregular palpitations despite treatment with several antiarrhythmic drugs. A preoperative exercise stress test without antiarrhythmic or negative chronotropic drugs, however, showed clear evidence of myocardial ischemia. After coronary angioplasty of a significant stenosis in the left anterior descending artery, there was no recurrence of atrial fibrillation during a follow-up of 7 months.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Angioplasty, Balloon, Coronary*
Atrial Fibrillation / etiology
Atrial Fibrillation / physiopathology
Atrial Fibrillation / therapy*
Coronary Angiography
Coronary Disease / complications
Electrocardiography
Exercise Test
Follow-Up Studies
Humans
Male
Myocardial Ischemia / diagnosis
Myocardial Ischemia / etiology*
Myocardial Ischemia / therapy
Tachycardia, Paroxysmal / etiology
Tachycardia, Paroxysmal / physiopathology
Tachycardia, Paroxysmal / therapy*
Ventricular Dysfunction, Left / diagnosis
Ventricular Dysfunction, Left / etiology*
Ventricular Dysfunction, Left / therapy