What does this research mean for the field?

Ectopic activity in the pulmonary veins can trigger atrial fibrillation during an acute myocardial infarction, and rescue pulmonary vein isolation can effectively restore sinus rhythm and stabilize hemodynamics in refractory cases. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

November 26, 2012BMC Cardiovascular DisordersOpen Access

Rescue pulmonary vein isolation for hemodynamically unstable atrial fibrillation storm in a patient with an acute extensive myocardial infarction

View Full Paper

Ask AI

Bookmark

Why the study?

Does emergent radiofrequency catheter ablation (pulmonary vein isolation) improve hemodynamics in a patient with hemodynamically unstable atrial fibrillation storm complicated by acute myocardial infarction?

Population

1 71-year-old male with acute myocardial infarction due to left main coronary artery occlusion, severe…

Design

Case_report

Follow-up

9 days

Authors

IMItsuro MorishimaElectrophysiology TSTakahito SoneOgaki Municipal Hospital HTHideyuki TsuboiIndian Institute of Technology Bombay

Discussion

Member takes

Implication

May support emergent PVI as rescue in unstable AF storm with AMI; leaves open need for prospective trials before practice change.

Structured PICO

Population

1 71-year-old male with acute myocardial infarction due to left main coronary artery occlusion, severe congestive heart failure (LVEF 34%), and hemodynamically unstable atrial fibrillation storm refractory to medical therapy and electrical cardioversion.

Intervention

Emergent radiofrequency catheter ablation (pulmonary vein isolation)

Outcome

Restoration of sinus rhythm and hemodynamic stabilization

Emergent pulmonary vein isolation may serve as a rescue therapeutic option for hemodynamically unstable atrial fibrillation storm triggered by pulmonary vein ectopy in the setting of acute myocardial infarction.

Cite This Study

Morishima et al. (2012) studied this question.

synapsesocial.com/papers/6a1d33ecba65f5ee325dfd04 https://doi.org/10.1186/1471-2261-12-110

Topics

Atrial fibrillation Persistent AF management Anticoagulation in AF AF ablation outcomes

View Full Paper

Ask AI

Bookmark

Rescue pulmonary vein isolation for hemodynamically unstable atrial fibrillation storm in a patient with an acute extensive myocardial infarction

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Rescue pulmonary vein isolation for hemodynamically unstable atrial fibrillation storm in a patient with an acute extensive myocardial infarction

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider