慢性心房颤动术后自发恢复。

S. Tatebe, M. Taoka, I. Tei, Shuko Nakamura, E. Tei
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引用次数: 0

摘要

一位75岁女性患者,持续性房颤(AF)自发恢复为窦性心律(SR)。自50多岁以来,她一直患有二尖瓣狭窄和继发性三尖瓣不全并心房颤动。3年前,她接受了二尖瓣置换术和三尖瓣成形术。自发除颤改善了心脏状态,并在SR中保持了3年。讨论了这种罕见现象的可能机制。西洛他唑被认为在这个病例中起作用。
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Chronic Atrial Fibrillation Spontaneously Reverted After Surgery.
A 75-year-old female with persistent long-lasting atrial fibrillation (AF) spontaneously reverted to sinus rhythm (SR). She had been suffering from mitral stenosis and secondary tricuspid insufficiency with AF since her 50’s. She underwent mitral valve replacement and tricuspid annuloplasty 3 years previously. Spontaneous defibrillation improved cardiac status and remained in SR for 3 years. Possible mechanisms of this uncommon phenomenon are discussed. Cilostazol was suggested to play a role on this case.
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