Case report of a 65-year-old woman presenting with cough, diarrhea, and paroxysmal atrial fibrillation with a complex cardiovascular history including prior myocardial infarction and amiodarone use.
May raise suspicion for amiodarone-related effects in similar patients; leaves open questions of causality and prevalence.
Presentation of CaseA 65-year-old woman was admitted to the hospital because of a persistent dry cough, diarrhea, and paroxysmal atrial fibrillation with orthostatic hypotension.The patient had had hypertension for 40 years and diabetes mellitus for 6 months. Six years before admission, she was treated for ulcerative proctitis. Thirty-nine months before admission, she had an anterior myocardial infarct, with cardiac arrest and ventricular fibrillation. Amiodarone was administered. Percutaneous transluminal angioplasty of the left anterior descending coronary artery was performed 13 months later. An episode of paroxysmal atrial fibrillation failed to respond to other maneuvers but was treated successfully with . . .
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Faling et al. (1997) studied this question.
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