Himalayan Fibrillatory Waves in Juvenile Rheumatic Mitral Stenosis

Author:

Akheela Mohamed Kassim1,Ahmed A. Shaheer2

Affiliation:

1. Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India

2. Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Abstract

AbstractAn 18-year-old girl, a known case of rheumatic mitral stenosis, presented with dyspnea and palpitations. Electrocardiogram was done, which revealed atrial fibrillation and a large amplitude atrial fibrillatory wave, which was more than the voltage of R wave V1, a finding which is quite uncommon. Echocardiography revealed a large left atrium which was 80 mm in diameter. The patient was started on oral anticoagulation and referred for mitral valve replacement with maze procedure.

Publisher

Georg Thieme Verlag KG

Subject

General Materials Science

Reference5 articles.

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4. Fine versus coarse atrial fibrillation in rheumatic mitral stenosis: the impact of aging and the clinical significance;L Pourafkari;Ann Noninvasive Electrocardiol,2018

5. Fine vs. coarse atrial fibrillation: which one is more risky?;M B Yilmaz;Cardiology,2007

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