RESUMO
Fainting on a plane is quite common, and stewards are used to taking care of things. Statistically, there is always a physician on board. This Letter to the Editor details a case report that deals with inappropriate pacemaker inhibition during a flight. Roche NC , Thabouillot O , Bouvier F , Paule P. Prepare for take-off: fasten your seatbelt and keep a magnet in your pocket!. Prehosp Disaster Med. 2018;33(1):114-115.
Assuntos
Viagem Aérea , Falha de Equipamento , Marca-Passo Artificial/efeitos adversos , Síncope/etiologia , Humanos , Masculino , Segurança do Paciente , Fatores de Risco , Síncope/terapiaAssuntos
Dor no Peito/etiologia , Vasos Coronários/diagnóstico por imagem , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico , Vasos Coronários/lesões , Vasos Coronários/fisiopatologia , Eletrocardiografia/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio com Supradesnível do Segmento ST/complicações , Infarto do Miocárdio com Supradesnível do Segmento ST/fisiopatologiaRESUMO
This is a case report of a 45-year-old man who reported complete amnesia during the very first kilometer of a 10-km run. He was wearing a heart rate monitor (HRM). The interrogation of his HRM watch showed 200 bpm tachycardia beginning in the first kilometer and increasing up to 220 bpm during the last kilometer. The patient was asked to wear a Holter-monitor (Holter Research Laboratory; Helena, Montana USA) electrocardiogram (ECG) while practicing a training session. This examination allowed for the diagnosis of an adrenergic paroxysmal atrial fibrillation (AF) with an impressive auriculo-ventricular conduction over 260 bpm. This case highlights that non-medical devices, such as connected watches, can be helpful to diagnose arrhythmias. Thabouillot O , Bostanci K , Bouvier F , Dumitrescu N , Stéfuriac M , Paule P , Roche NC . Syncope during competitive events: interrogating heart rate monitor watches may be useful! Prehosp Disaster Med. 2017;32(6):691-693.
Assuntos
Fibrilação Atrial/diagnóstico , Corrida , Síncope/diagnóstico , Fibrilação Atrial/etiologia , Fibrilação Atrial/prevenção & controle , Diagnóstico Diferencial , Eletrocardiografia Ambulatorial , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Síncope/etiologia , Síncope/prevenção & controleRESUMO
Amyloidosis results from extra-cellular deposition of proteins which interfere with tissue function. We report the case of a patient with pathological heart involvement which is caused by immunoglobulin D amyloidosis, and review current data on the amyloidois diagnosis and management.