Nigussie Bisrat, Abaleka Fuad I, Suhail Maham, Yimer Esmael, Rotatori Francesco
Internal Medicine, Richmond University Medical Center, Staten Island, USA.
Cardiovascular Medicine, Richmond University Medical Center, Staten Island, USA.
Cureus. 2020 Jun 21;12(6):e8739. doi: 10.7759/cureus.8739.
Atrial flutter is a rapid, regular atrial tachyarrhythmia that occurs most commonly in patients with underlying structural heart disease. Spontaneous 1:1 conduction of atrial flutter is indeed rare, but its diagnosis and management is of critical importance. We describe a case of a 65-year-old man with hypertension, preserved ejection fraction heart failure, end-stage renal disease, Parkinson's disease, and Alzheimer's dementia, in whom atrial flutter was associated with 1:1 atrioventricular conduction. Our patient was hemodynamically unstable with aortic valve endocarditis and recent septic embolic stroke. This case report emphasizes the importance of recognition and management to avoid hemodynamic compromise.
心房扑动是一种快速、规则的房性快速心律失常，最常见于患有潜在结构性心脏病的患者。心房扑动的自发1:1传导确实罕见，但其诊断和管理至关重要。我们描述了一例65岁男性患者，患有高血压、射血分数保留的心力衰竭、终末期肾病、帕金森病和阿尔茨海默病痴呆症，其心房扑动与1:1房室传导相关。我们的患者因主动脉瓣心内膜炎和近期脓毒性栓塞性中风而血流动力学不稳定。本病例报告强调了识别和管理以避免血流动力学损害的重要性。
