Abstract
Effects of renal sympathetic denervation in hypertensive response and trigger of atrial fibrillation in treadmill test in patients without hypertension
Highlights
Pacing in the right atrium may induce atrial dyssynchrony and subsequent AF [1]
It has been ablated to atrium-ventricular node reentrant tachycardia
Type 2 diabetes mellitus, dyslipidemia, treated with losartan 100 mg daily, metformin hydrochloride 850 twice a day, and rosuvastatin 10 mg daily. She has negative myocardial scintigraphy for ischemia, normal carotid Doppler and echocardiogram, normal 24-hour Holter monitoring showing heart rate of 58-78-122 bpm, sinus rhythm, 6633 polymorphic ventricular premature beats, 2 episodes of non-sustained ventricular tachycardia composed by 3 beats fast as 128bpm
Summary
Pacing in the right atrium may induce atrial dyssynchrony and subsequent AF [1]. The percentage of atrial pacing can lead to hemodynamic alterations, and changes in the shape and velocity of intra-atrial, interatrial, and atrioventricular conduction, as well as alter cellular properties. We presented a female patient, 64 years old, complaining of syncope, pre-syncope, and fatigue on usual efforts. It has been ablated to atrium-ventricular node reentrant tachycardia
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