Asuka Edinen, Arole Olugbenga, Ndakotsu Andrew
Internal Medicine and Preventive Medicine, Griffin Hospital, Derby, USA.
Internal Medicine, Griffin Hospital, Derby, USA.
Cureus. 2025 Feb 17;17(2):e79169. doi: 10.7759/cureus.79169. eCollection 2025 Feb.
Atrial fibrillation is one of the most common supraventricular arrhythmias. It has multiple etiologies, some of which include advanced age, hypertension, valvular heart disease, hyperthyroidism, sleep apnea, ischemic heart disease, cardiomyopathy, and certain medications. Herein, we will discuss a case of extensive atrial fibrosis in a 57-year-old male with recalcitrant atrial fibrillation, the significant role extensive atrial fibrosis plays in the recurrence of atrial fibrillation, a brief pathophysiologic interplay between both pathologies based on current literature and research, and various imaging modalities and treatment options utilized in these cases. Likewise, we will also outline some challenges faced or worth keeping in mind when using the various imaging modalities pertaining to the above subject matter.
心房颤动是最常见的室上性心律失常之一。它有多种病因，其中一些包括高龄、高血压、瓣膜性心脏病、甲状腺功能亢进、睡眠呼吸暂停、缺血性心脏病、心肌病以及某些药物。在此，我们将讨论一例57岁男性顽固性心房颤动伴广泛心房纤维化的病例，广泛心房纤维化在心房颤动复发中所起的重要作用，基于当前文献和研究二者之间简短的病理生理相互作用，以及这些病例中使用的各种成像方式和治疗选择。同样，我们还将概述在使用与上述主题相关的各种成像方式时所面临的一些挑战或值得牢记的要点。
