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一位 65 岁女性,心房颤动消融术后出现呼吸困难。

A 65-Year-Old Woman With Dyspnea After Atrial Fibrillation Ablation.

机构信息

Department of Internal Medicine, Albert Einstein Medical Center Ringgold standard institution, Philadelphia, PA.

Philadelphia College of Osteopathic Medicine Ringgold standard institution, Philadelphia, PA.

出版信息

Chest. 2021 Jan;159(1):e29-e33. doi: 10.1016/j.chest.2020.07.095.

DOI:10.1016/j.chest.2020.07.095
PMID:33422237
Abstract

A 65-year-old woman with a history of chronic persistent atrial fibrillation, tobacco use, and COPD was admitted to the hospital 2 months after catheter ablation for persistent atrial fibrillation and dyspnea. Her dyspnea was present at rest and worsened by exertion with limitation to ambulating less than two blocks. She also endorsed a 1-month history of cough with minimally productive whitish sputum with frequent nocturnal exacerbations and orthopnea. She denied any fevers, chest pain, or hemoptysis.

摘要

一位 65 岁的女性,有慢性持续性心房颤动、吸烟和 COPD 的病史,在导管消融治疗持续性心房颤动和呼吸困难后 2 个月住院。她的呼吸困难在休息时出现,活动时加重,行走距离不足两个街区。她还诉说有 1 个月的咳嗽病史,咳出少量白色痰,夜间频繁加重,出现端坐呼吸。她否认有发热、胸痛或咯血。

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