A Case of Atrial Flutter Masking Acute Pericarditis
Autor: | Christopher Bitetzakis, Christopher Schwartz, Aarti Patel, Arjun C Khadilkar |
---|---|
Rok vydání: | 2021 |
Předmět: |
Tachycardia
medicine.medical_specialty medicine.medical_treatment Cardiology 030204 cardiovascular system & hematology Cardioversion 03 medical and health sciences Pericarditis 0302 clinical medicine Acute pericarditis cardioversion Internal medicine Internal Medicine medicine acute pericarditis cardiovascular diseases business.industry General Engineering medicine.disease Obstructive sleep apnea Medical Education atrial flutter supraventricular tachycardia cardiovascular system Supraventricular tachycardia medicine.symptom business ekg 030217 neurology & neurosurgery Atrial flutter Kidney disease |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.14168 |
Popis: | Atrial flutter (AFL) is a macro-reentrant tachycardia that can be provoked by numerous factors, including acute pericarditis. We present a case of new-onset AFL masking acute pericarditis in a man with multiple comorbid conditions, including hypertension, chronic kidney disease, and obstructive sleep apnea. After a failed attempt of rate control, the patient underwent successful cardioversion, which revealed electrocardiographic findings consistent with acute pericarditis. Colchicine was avoided in the setting of chronic kidney disease and the patient was treated with a steroid taper. Pericarditis is a rare cause of AFL, and this case demonstrates the diagnostic and management considerations for AFL and acute pericarditis. |
Databáze: | OpenAIRE |
Externí odkaz: |