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特发性间质性肺炎心脏消融术后急性加重:首例报告。

Acute Exacerbation of Idiopathic Interstitial Pneumonia Triggered by Cardiac Ablation: The First Case Report.

机构信息

Showa University School of Medicine, Department of Medicine, Division of Respiratory Medicine and Allergology, Japan.

出版信息

Intern Med. 2021 Nov 15;60(22):3589-3592. doi: 10.2169/internalmedicine.7016-21. Epub 2021 Jun 5.

Abstract

Acute exacerbation of idiopathic interstitial pneumonia (AE-IIP) is associated with invasive procedures and respiratory infections. However, there have been no reports of AE-IIP triggered by catheter ablation. We herein report a case of AE-IIP after catheter ablation for atrial fibrillation in an 82-year-old man who was diagnosed with IIP. Cardiac ablation has become an increasingly common procedure for managing patients with arrhythmias. Considering that catheter ablation causes AE-IIP, a detailed clinical interview, physical examination, and chest radiography are necessary before catheter ablation. We should additionally consider AE-IIP as a differential diagnosis of respiratory failure after catheter ablation.

摘要

特发性间质性肺炎(IIP)的急性加重与有创操作和呼吸道感染有关。然而,目前尚无导管消融引发 IIP 急性加重的报道。本文报告了一例 82 岁男性在诊断为 IIP 后因心房颤动接受导管消融治疗后发生的特发性间质性肺炎急性加重。心脏消融已成为治疗心律失常患者的一种越来越常见的方法。考虑到导管消融可能导致特发性间质性肺炎急性加重,在进行导管消融前,需要进行详细的临床访谈、体格检查和胸部 X 线检查。我们还应将特发性间质性肺炎急性加重作为导管消融后呼吸衰竭的鉴别诊断之一。

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