open access

Vol 66, No 1 (2008)
Other
Published online: 2008-02-04
Submitted: 2012-12-28
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Invasive electrophysiology
RF ablation of longstanding persistent atrial fibrillation in patient with familial dilated cardiomyopathy

Paweł Derejko, Joanna Zakrzewska, Łukasz Szumowski, Ewa Szufladowicz, Robert Bodalski, Piotr Michałek, Ewa Walczak, Zofia T. Bilińska, Franciszek Walczak
Kardiol Pol 2008;66(1):109-113.

open access

Vol 66, No 1 (2008)
Other
Published online: 2008-02-04
Submitted: 2012-12-28

Abstract

A vicious circle of interactions between dilated cardiomyopathy and longstanding persistent AF/AFL may cause symptoms of advanced congestive heart failure. In a 31-year-old patient with diagnosis of familial dilated cardiomyopathy and permanent AF lasting for five years, gradually decreased left ventricular ejection fraction (LVEF) and increased diameter of heart chambers – left ventricular diastolic dimension (LVdD) 7.7 cm, left atrium (LA) 5.4 cm, and LVEF 15% were noted. Pharmacological treatment was ineffective Successful RF ablation of AF/AFL substrate (CTI block, PVs isolation, CFAE ablation, roof and MIG line, CS applications) reversed symptoms of significant heart remodeling (LVdD 5.9 cm, LA 4.3 cm, LVEF 50%).

Abstract

A vicious circle of interactions between dilated cardiomyopathy and longstanding persistent AF/AFL may cause symptoms of advanced congestive heart failure. In a 31-year-old patient with diagnosis of familial dilated cardiomyopathy and permanent AF lasting for five years, gradually decreased left ventricular ejection fraction (LVEF) and increased diameter of heart chambers – left ventricular diastolic dimension (LVdD) 7.7 cm, left atrium (LA) 5.4 cm, and LVEF 15% were noted. Pharmacological treatment was ineffective Successful RF ablation of AF/AFL substrate (CTI block, PVs isolation, CFAE ablation, roof and MIG line, CS applications) reversed symptoms of significant heart remodeling (LVdD 5.9 cm, LA 4.3 cm, LVEF 50%).
Get Citation

Keywords

longstanding persistent AF/AFL; familial dilated cardiomyopathy; RF ablation

About this article
Title


Invasive electrophysiology
RF ablation of longstanding persistent atrial fibrillation in patient with familial dilated cardiomyopathy

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 1 (2008)

Pages

109-113

Published online

2008-02-04

Bibliographic record

Kardiol Pol 2008;66(1):109-113.

Keywords

longstanding persistent AF/AFL
familial dilated cardiomyopathy
RF ablation

Authors

Paweł Derejko
Joanna Zakrzewska
Łukasz Szumowski
Ewa Szufladowicz
Robert Bodalski
Piotr Michałek
Ewa Walczak
Zofia T. Bilińska
Franciszek Walczak

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