ATRIAL FIBRILLATION IN A YOUNG PATIENT
Keywords:
atrial fibrillation, youth, treatment, arrhythmia, etiologyAbstract
Case presentation: In this case, we present a 17-year-old male patient, an athlete, with a history of paternal death at 20 years of age (cause unknown) derived from presenting an electrocardiogram during his routine examinations showing atrial fibrillation of moderate ventricular response (AMRF). Structural heart disease was ruled out by Doppler echocardiogram as well as by magnetic resonance imaging with gadolinium. It is observed by persistent Holter AF. It was decided to perform electrical cardioversion (EVC) with subsequent reversal to sinus rhythm. Medication for rhythm control is initiated, without anticoagulation. It is currently maintained in sinus rhythm.
Conclusion: We describe the case of a young patient with atrial fibrillation with moderate ventricular response, its diagnostic path, and its resolution. There are currently no guidelines on first-line antiarrhythmic treatment for AF in pediatrics.
References
Roguera Sopena M, Sabidó Sánchez L, Villuendas Sabaté R, del Alcázar Muñoz R. Fibrilación auricular. A propósito de 2 casos. Arch Bronconeumol. 2020;92:47–49.
Labadet C, de Zuloaga C. Toda fibrilación auricular sin cardiopatía debe ser tratada con ablación. Rev. argent. cardiol. 2009 Oct; 77( 5 ): 386-392. http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1850-37482009000500009&lng=es.
Kristina W, Günter B, Lars E. The young patient with asymptomatic atrial fibrillation: what is the evidence to leave the arrhythmia untreated? European Heart Journal (2014) 35, 1439–1447.
Ochoa CS, Rivas Lopez MT, Barajas Sanchez MV. Fibrilación auricular en un niño con corazón sano. BOL PEDIATR 1999; 39; 260-261.
Roberts JD, Gollob MH. Impact of genetic discoveries on the classification of lone atrial fibrillation. J Am Coll Cardiol. 2010 Feb 23;55(8):705-12. Hsu LF, Jaïs P, Keane D, Wharton JM, Deisenhofer I, Hocini M, Shah DC, Sanders P, Scavée C, Weerasooriya R, Clémenty J, Haïssaguerre M. Atrial fibrillation originating from persistent left superior vena cava. Circulation. 2004 Feb 24;109(7):828-32.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 erika ferreyra
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este obra está bajo una licencia de Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional.