Haq Ayman, Meidan Talia G, Synghal Gaurav, Khan Hafiza
Department of Internal Medicine, Baylor University Medical Center , Dallas , Texas.
Department of Cardiology, Baylor Scott & White The Heart Hospital , Plano , Texas.
Proc (Bayl Univ Med Cent). 2021 Jul 23;34(6):712-714. doi: 10.1080/08998280.2021.1945363. eCollection 2021.
A 55-year-old woman was referred for recurrent palpitations. A 48-hour ambulatory cardiac monitor revealed an atrial tachycardia rate up to 170 beats per minute. A subsequent electrophysiology study revealed atrial fibrillation and both typical and atypical atrial flutter. Computed tomography revealed multiple pulmonary nodules, and an endobronchial ultrasound-guided fine-needle aspiration confirmed the diagnosis of pulmonary sarcoidosis. The patient underwent radiofrequency ablation of the cavotricuspid isthmus and left common, right superior, and right inferior pulmonary vein isolation via cryoablation, without recurrent symptoms.
一名55岁女性因反复心悸前来就诊。48小时动态心电图监测显示房性心动过速，心率高达每分钟170次。随后的电生理研究显示心房颤动以及典型和非典型心房扑动。计算机断层扫描显示多个肺结节，经支气管超声引导下细针穿刺活检确诊为肺结节病。该患者接受了三尖瓣峡部射频消融术，并通过冷冻消融对左心耳、右上肺静脉和右下肺静脉进行隔离，术后未再出现症状。
