Atrioesophageal Fistula as a Complication of Radiofrequency Ablation for Atrial Fibrillation

2021 ◽  
pp. 1-3
Author(s):  
Mustafa Emin Canakci ◽  
Cengiz Ovali ◽  
İrem Aydogdu ◽  
Betul Tiryaki Bastug ◽  
Obaidullah Ahmadzai ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Emergency Department ◽  
Radiofrequency Ablation ◽  
Gastrointestinal Bleeding ◽  
Male Patient ◽  
Delayed Diagnosis ◽  
Infectious Complications ◽  
Morbidity And Mortality ◽  
Important Complication ◽  
Atrioesophageal Fistula

Abstract Atrioesophageal fistula (AEF) is an important complication of radiofrequency ablation (RFA). Delayed diagnosis is associated with increased morbidity and mortality. Despite the name “atrioesophageal fistula,” fistulas functionally act esophageal to atrial, which accounts for the neurologic and infectious complications. This report presents the management of a 60-year-old male patient who was admitted to the emergency department (ED) with AEF-caused gastrointestinal bleeding. The patient was operated urgently, but he had serious comorbidities and died after the operation. The aim of this case was to evaluate patients who underwent RFA, within 10 days to two months, carefully in the ED and to know the possible complications.

scholarly journals Plasma Procalcitonin Is Useful for Predicting the Severity of Acute Cholecystitis

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Saben Sakalar ◽  
Engin Ozakın ◽  
Arif Alper Cevik ◽  
Nurdan Acar ◽  
Serkan Dogan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Early Diagnosis ◽  
Acute Cholecystitis ◽  
Delayed Diagnosis ◽  
Morbidity And Mortality ◽  
Radiological Diagnosis ◽  
Common Complication ◽  
Tokyo Guidelines ◽  
Grade 3

Background. Acute cholecystitis is a common complication of cholelithiasis. Delayed diagnosis may constitute morbidity and mortality; therefore, early diagnosis and determining the severity of acute cholecystitis are crucial. Objectives. This study aimed to determine the validity of blood procalcitonin (PCT) levels in assessing the severity of acute cholecystitis. Methods. The Emergency Department (ED) patients diagnosed as acute cholecystitis were included in the study. Patients were allocated into three severity grades according to the Tokyo Guidelines 2013. PCT level was measured after the clinical and radiological diagnosis of acute cholecystitis in the ED. Results. Ninety-five patients diagnosed with acute cholecystitis, among them 48 of were male. Forty patients (42.1%) were allocated to grade 1, 19 (20%) to grade 2, and 36 (37.9%) to grade 3. The median values of PCT were 0.104 ng/ml, 0.353 ng/ml, and 1.466 ng/ml for grade 1, 2, and 3 patients, respectively (p<0.001). Conclusion. Blood procalcitonin levels can be used to determine the severity of acute cholecystitis effectively.

scholarly journals Cardiac arrest in an older male patient treated with flecainide for atrial fibrillation

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Tiziana Ciarambino ◽  
Keyword(s):  
Atrial Fibrillation ◽  
Emergency Department ◽  
Cardiac Arrest ◽  
Case Report ◽  
Cardiopulmonary Resuscitation ◽  
Male Patient ◽  
Spontaneous Circulation ◽  
Return Of Spontaneous Circulation ◽  
Cardiac Arrhythmia Suppression Trial ◽  
Supraventricular Tachyarrhythmias

Flecainide is a class I antiarrhythmic used for supraventricular tachyarrhythmias with mild adverse reactions.We present a case report in a 78-year-old male that came to the emergency department with atrial fibrillation and was subsequently treated with flecainide. During the infusion, the patient went into cardiac arrest. Cardiopulmonary resuscitation was performed until the return of spontaneous circulation was achieved after 1 min and 40 seconds. Conclusion. Some trials, like The Cardiac Arrhythmia Suppression Trial (CAST), consider flecainide to be safe, but our case report, together with several other published reports brings attention to the use of flecainide in pharmacologic cardioversion of atrial fibrillation as a cause of cardiac arrest. Keywords: Older man, atrial fibrillation, emergency department, cardiac arrest, flecainide

scholarly journals Emergency management of upper gastrointestinal bleeding

2018 ◽  
Vol 5 (9) ◽  
pp. 3647
Author(s):  
Badr Abulhamail ◽  
Ali Alamer ◽  
Khalid Asiri ◽  
Abdullah Alasmari ◽  
Ahmed Al Hamad ◽  
...  
Keyword(s):  
Emergency Department ◽  
Peptic Ulcer ◽  
Gastrointestinal Bleeding ◽  
Variceal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Morbidity And Mortality ◽  
Intestinal Bleeding ◽  
Gi Bleeding ◽  
Common Causes ◽  
Upper Gastrointestinal

Upper gastro intestinal bleeding is one of the most common reasons of emergency department visits, totaling up to 400,000 annual admissions in the United States. Peptic ulcer disease and variceal bleeding are two of the most common causes of GI bleeding. Several studies have been done, and major advancements were made in its management leading to significant drop in morbidity and mortality. Our aim is to study the common causes of upper gastrointestinal bleeding that come to the emergency department and understand the latest guidelines to manage them. We conducted this review using a comprehensive search of PubMed, MEDLINE, and EMBASE from March 1981, through November 2017. The following search terms were used: upper gastro intestinal bleeding, management of upper GI bleeding, variceal bleeding, peptic ulcer bleeding, hemorrhage in the emergency department. Acute upper gastrointestinal bleeding is one of the most common cases encountered in the emergency department and leading to significant morbidity and mortality. Clearing airway and breathing and stabilizing the vitals of the patient by achieving hemodynamic stability and bleeding control is the primary goal in the emergency department. 

scholarly journals Radiofrequency ablation in treatment of atrial fibrillation

2010 ◽  
pp. S43-S49
Author(s):  
R Lábrová ◽  
J Špinar ◽  
N Honzíková
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Metabolic Syndrome ◽  
Radiofrequency Ablation ◽  
Catheter Ablation ◽  
Left Ventricle ◽  
Sinus Rhythm ◽  
21St Century ◽  
Effective Therapy ◽  
Morbidity And Mortality

Beside heart failure and metabolic syndrome, atrial fibrillation is termed the cardiovascular epidemic of the 21st century. Its increased morbidity and mortality is alarming. The present, most effective therapy of atrial fibrillation is catheter ablation. Successful ablation of atrial fibrillation prevents the occurrence and progression of electrical, structural and mechanic myocardium remodelling, improves function of the left ventricle, and prevents the risk of thrombembolism. Onset of sinus rhythm activates the reversal remodelling leading to wall reconstruction and atrium reduction. The paper reviews the technique and presents own experience with catheter ablation.

Sign in / Sign up

Export Citation Format

Share Document