ABSTRACT
We report the case of an elderly woman with coronary heart disease and paroxysmal atrial fibrillation. It could be hypothesized that the predisposing anatomic substrate for arrhythmogenesis in this patient derived from both age-related left atrial dilation and coexistent ischaemic heart disease. Unfortunately the usual antiarrhythmic therapy was unsafe or not feasible for this subject. Ranolazine 750 mg twice daily completely suppressed atrial fibrillation recurrences.
Subject(s)
Acetanilides/therapeutic use , Atrial Fibrillation/drug therapy , Piperazines/therapeutic use , Aged , Female , Humans , Ranolazine , Treatment OutcomeABSTRACT
OBJECTIVE: To evaluate the outcome of ultrasound-guided aspiration of ovarian endometriotic cysts. METHOD: Thirty-four patients with ovarian endometriomas were submitted to transvaginal (28 patients) or transabdominal (6 patients) ultrasound-guided aspiration of the cyst content, and then followed with serial ultrasonograms for a mean period of 12 months (range 6-20 months). RESULT: The procedure was successful in all cases, and no early complications occurred. The recurrence rate was 53%, and it was not influenced significantly by the preoperative or postoperative administration of medical suppressive therapy. CONCLUSION: Ultrasound-guided aspiration of ovarian endometriomas yields a relatively high recurrence rate, and can be proposed as an alternative treatment when surgery is undesired or contraindicated.
