Division of Nephrology, Department of Internal Medicine, Pikeville Medical Center, 911 Bypass Rd, Pikeville, KY, 41501, USA.
Department of Internal Medicine, Pikeville Medical Center, Pikeville, KY, 41501, USA.
J Med Case Rep. 2023 Apr 18;17(1):172. doi: 10.1186/s13256-023-03829-w.
Atrial fibrillation is the most common cardiac arrhythmia, and cardiac ablation is one of the treatment modalities for persistent symptomatic atrial fibrillation. Gastroparesis is a rare complication of radiofrequency catheter ablation for atrial fibrillation, which may be associated with high morbidity.
We present a 44-year-old Caucasian male with persistent atrial fibrillation who presented with nausea, vomiting, bloating, and constipation after radiofrequency catheter ablation. He was found to have gastroparesis due to pyloric spasm that was treated with botulinum toxin injection.
This case signifies the importance of identifying gastric complications after radiofrequency catheter ablation atrial fibrillation, and the need for prompt diagnosis and treatment of gastroparesis with botulinum toxin injection.
心房颤动是最常见的心律失常，而心脏消融术是治疗持续性有症状的心房颤动的方法之一。胃轻瘫是心房颤动射频导管消融术的罕见并发症，可能与高发病率相关。
我们报告了一例 44 岁的白人男性，持续性心房颤动，在射频导管消融术后出现恶心、呕吐、腹胀和便秘。他被发现患有幽门痉挛引起的胃轻瘫，采用肉毒毒素注射进行治疗。
本病例表明，在射频导管消融心房颤动后，识别胃并发症的重要性，以及及时诊断和采用肉毒毒素注射治疗胃轻瘫的必要性。
