Open Access

Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report

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Date: 14 May 2020
Journal: European Heart Journal - Case Reports , Volume 4 , Issue 3 , Pages 1 - 5
Authors: D. Yakabe , M. Araki , K. Furukawa , T. Nakamura , T. Tan , P. Sommer , H. Khan , S. Simovic , P. Patel

ESC Journals

AbstractBackground

Atrial fibrillation (AF) is a common arrhythmia in patients with hypertrophic cardiomyopathy (HCM) and can deteriorate haemodynamic status.

Case summary

We report a case of a 77-year-old woman with cardiogenic shock due to paroxysmal AF, complicated with HCM and aortic stenosis. Atrial fibrillation was successfully managed with temporary atrial pacing and administration of nifekalant hydrochloride without invasive mechanical circulatory support until surgery. Septal myectomy, aortic valve replacement, and pulmonary vein isolation were performed.

Discussion

This case suggests that atrial pacing and nifekalant may be safe and effective for rhythm control.

About the contributors

Daisuke Yakabe

Fukuoka (Kyushu Medical Center)

Role: Author

Masahiro Araki

Role: Author

Kojiro Furukawa

Role: Author