Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operate

Background: Multifocal atrial tachycardia (MAT) is an uncommon supraventricular arrhythmia that can be seen most commonly in elderly patients with underlying lung disease. It can be easily misinterpreted as atrial fibrillation. Case presentation: We identified an episode of MAT in an asym...

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Main Authors: Jesús Nieves-Alonso, Rosa Méndez Hernández, Fernando Ramasco Rueda
Format: Article
Language:English
Published: Academia.edu Journals 2023-08-01
Series:Academia Medicine
Online Access:https://www.academia.edu/106109435/Case_study_Multifocal_atrial_tachycardia_during_cataract_surgery_to_operate_or_not_to_operate
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author Jesús Nieves-Alonso
Rosa Méndez Hernández
Fernando Ramasco Rueda
author_facet Jesús Nieves-Alonso
Rosa Méndez Hernández
Fernando Ramasco Rueda
author_sort Jesús Nieves-Alonso
collection DOAJ
description Background: Multifocal atrial tachycardia (MAT) is an uncommon supraventricular arrhythmia that can be seen most commonly in elderly patients with underlying lung disease. It can be easily misinterpreted as atrial fibrillation. Case presentation: We identified an episode of MAT in an asymptomatic patient who was scheduled for ambulatory cataract surgery. After a detailed physical examination and focused cardiac ultrasound (FoCUS), we decided to proceed with the surgery. Conclusions: When MAT occurs in the preoperative period, it can be challenging to decide whether to proceed with the surgical procedure or to perform prior evaluation by a cardiologist. Anamnesis, physical examination, and FoCUS are useful tools in making this decision.
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language English
publishDate 2023-08-01
publisher Academia.edu Journals
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series Academia Medicine
spelling doaj-art-3c0755b554e84a479eb115c98eeeced82025-02-10T22:23:05ZengAcademia.edu JournalsAcademia Medicine2994-435X2023-08-011110.20935/AcadMed6109Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operateJesús Nieves-Alonso0Rosa Méndez Hernández1Fernando Ramasco Rueda2Department of Anesthesia and Surgical Critical Care, La Princesa Universitary Hospital, Madrid, Spain.Department of Anesthesia and Surgical Critical Care, La Princesa Universitary Hospital, Madrid, Spain.Department of Anesthesia and Surgical Critical Care, La Princesa Universitary Hospital, Madrid, Spain. Background: Multifocal atrial tachycardia (MAT) is an uncommon supraventricular arrhythmia that can be seen most commonly in elderly patients with underlying lung disease. It can be easily misinterpreted as atrial fibrillation. Case presentation: We identified an episode of MAT in an asymptomatic patient who was scheduled for ambulatory cataract surgery. After a detailed physical examination and focused cardiac ultrasound (FoCUS), we decided to proceed with the surgery. Conclusions: When MAT occurs in the preoperative period, it can be challenging to decide whether to proceed with the surgical procedure or to perform prior evaluation by a cardiologist. Anamnesis, physical examination, and FoCUS are useful tools in making this decision.https://www.academia.edu/106109435/Case_study_Multifocal_atrial_tachycardia_during_cataract_surgery_to_operate_or_not_to_operate
spellingShingle Jesús Nieves-Alonso
Rosa Méndez Hernández
Fernando Ramasco Rueda
Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operate
Academia Medicine
title Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operate
title_full Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operate
title_fullStr Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operate
title_full_unstemmed Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operate
title_short Case study: Multifocal atrial tachycardia during cataract surgery: to operate or not to operate
title_sort case study multifocal atrial tachycardia during cataract surgery to operate or not to operate
url https://www.academia.edu/106109435/Case_study_Multifocal_atrial_tachycardia_during_cataract_surgery_to_operate_or_not_to_operate
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AT rosamendezhernandez casestudymultifocalatrialtachycardiaduringcataractsurgerytooperateornottooperate
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