Supraventricular tachyarrhythmia as a first sign of aortic aneurysm
We report the case of a 50-year-old man who presented with palpitations, without any other symptoms. An electrocardiogram (ECG) showed rapid supraventricular tachyarrhythmia (atrial flutter 2:1). Transthoracic echocardiography showed severe left ventricular dilatation and left atrial enlargement, s...
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| Format: | Article |
| Language: | English |
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Edizioni FS
2016-07-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | http://journalhss.com/wp-content/uploads/JHHS12137-142.pdf |
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| author | Antonio Villa Alfredo Corticelli Gerarda Russo Dimitra Zarifi Andrea Bona Simona Armieri |
| author_facet | Antonio Villa Alfredo Corticelli Gerarda Russo Dimitra Zarifi Andrea Bona Simona Armieri |
| author_sort | Antonio Villa |
| collection | DOAJ |
| description | We report the case of a 50-year-old man who presented with palpitations, without any other symptoms. An electrocardiogram (ECG) showed rapid supraventricular tachyarrhythmia (atrial
flutter 2:1). Transthoracic echocardiography showed severe left ventricular dilatation and left atrial enlargement, sustained by the severe dilatation of the aortic root and an ascending aortic aneurysm. A computed tomography (CT) scan of the chest confirmed the aortic dilatation. Thoracic aortic disease presents in many different ways, often incidentally after a chest X-ray is performed for other reasons. Our patient had no such risk factors for an aortic aneurysm. The existing literature features some reports of aortic dissection presenting with supraventricular arrhythmias, but to our knowledge, this is the first report of an arrhythmia as the first sign of an aortic aneurysm (not dissected).
The guidelines for the management of atrial fibrillation do not specify the timing of performing echocardiography. We think that during the assessment of a patient who is in the emergency room
with paroxysmal tachyarrhythmias, performing echocardiography early can be very useful. |
| format | Article |
| id | doaj-art-c7b38f4a8d4c490fb4902f5f2980976e |
| institution | Kabale University |
| issn | 2499-2240 2499-5886 |
| language | English |
| publishDate | 2016-07-01 |
| publisher | Edizioni FS |
| record_format | Article |
| series | Journal of Health and Social Sciences |
| spelling | doaj-art-c7b38f4a8d4c490fb4902f5f2980976e2025-01-18T18:20:29ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862016-07-011213714210.19204/2016/sprv17Supraventricular tachyarrhythmia as a first sign of aortic aneurysmAntonio Villa0Alfredo Corticelli1Gerarda Russo2Dimitra Zarifi3Andrea Bona4Simona Armieri5Department of Emergency, ASST Monza, PO Desio, Monza, ItalyDepartment of Cardiology, ASST Monza, PO Desio, Monza, ItalyDepartment of Cardiology, ASST Monza, PO Desio, Monza, ItalyDepartment of Emergency, ASST Monza, PO Desio, Monza, ItalyDepartment of Emergency, ASST Monza, PO Desio, Monza, ItalyDepartment of Emergency, ASST Monza, PO Desio, Monza, ItalyWe report the case of a 50-year-old man who presented with palpitations, without any other symptoms. An electrocardiogram (ECG) showed rapid supraventricular tachyarrhythmia (atrial flutter 2:1). Transthoracic echocardiography showed severe left ventricular dilatation and left atrial enlargement, sustained by the severe dilatation of the aortic root and an ascending aortic aneurysm. A computed tomography (CT) scan of the chest confirmed the aortic dilatation. Thoracic aortic disease presents in many different ways, often incidentally after a chest X-ray is performed for other reasons. Our patient had no such risk factors for an aortic aneurysm. The existing literature features some reports of aortic dissection presenting with supraventricular arrhythmias, but to our knowledge, this is the first report of an arrhythmia as the first sign of an aortic aneurysm (not dissected). The guidelines for the management of atrial fibrillation do not specify the timing of performing echocardiography. We think that during the assessment of a patient who is in the emergency room with paroxysmal tachyarrhythmias, performing echocardiography early can be very useful.http://journalhss.com/wp-content/uploads/JHHS12137-142.pdfaortic aneurysm; arrhythmiascardiac; echocardiography. |
| spellingShingle | Antonio Villa Alfredo Corticelli Gerarda Russo Dimitra Zarifi Andrea Bona Simona Armieri Supraventricular tachyarrhythmia as a first sign of aortic aneurysm Journal of Health and Social Sciences aortic aneurysm; arrhythmias cardiac; echocardiography. |
| title | Supraventricular tachyarrhythmia as a first sign of aortic aneurysm |
| title_full | Supraventricular tachyarrhythmia as a first sign of aortic aneurysm |
| title_fullStr | Supraventricular tachyarrhythmia as a first sign of aortic aneurysm |
| title_full_unstemmed | Supraventricular tachyarrhythmia as a first sign of aortic aneurysm |
| title_short | Supraventricular tachyarrhythmia as a first sign of aortic aneurysm |
| title_sort | supraventricular tachyarrhythmia as a first sign of aortic aneurysm |
| topic | aortic aneurysm; arrhythmias cardiac; echocardiography. |
| url | http://journalhss.com/wp-content/uploads/JHHS12137-142.pdf |
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