PMID- 38164773
OWN - NLM
STAT- MEDLINE
DCOM- 20240103
LR  - 20240329
IS  - 1308-4488 (Electronic)
IS  - 1016-5169 (Linking)
VI  - 51
IP  - 8
DP  - 2023 Dec
TI  - Fingers on the Wrist and Taming the Funny Current, Rejuvenate the Wounded Heart: 
      Ivabradine-Responsive Atrial Tachycardia.
PG  - 580-583
LID - 10.5543/tkda.2023.60296 [doi]
AB  - A 19-year-old male presented with dyspnea on exertion (New York Heart Association 
      [NYHA] class II) and occasional palpitations for six months. He had initially 
      been evaluated at another facility and diagnosed with dilated cardiomyopathy. 
      Despite treatment, there was no improvement in his symptoms. On evaluation at our 
      centre, his previous electrocardiograms appeared normal. However, palpation of 
      his radial pulse for one minute revealed runs of regular tachycardia, 
      interspersed with a normal pulse rate. A 30-second rhythm strip electrocardiogram 
      (ECG) showed multiple runs of ectopic tachycardia originating from the right 
      atrial appendage, interspersed with ectopic atrial rhythms. Echocardiography 
      showed severe left ventricle (LV) dysfunction with an ejection fraction of 
      20-25%. Radio-frequency ablation was recommended, but the patient declined. 
      Instead, he was started on Ivabradine. After a month, his symptoms fully 
      resolved. The ECG displayed a normal sinus rhythm with no tachycardia, and his 
      left ventricular ejection function improved.
FAU - Ahmed, A Shaheer
AU  - Ahmed AS
AD  - Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung 
      Hospital, New Delhi, India.
FAU - Divani, Gauravkumar
AU  - Divani G
AD  - Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung 
      Hospital, New Delhi, India.
FAU - Rai, Nitish
AU  - Rai N
AD  - Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung 
      Hospital, New Delhi, India.
FAU - Ansari, Anwar Hussain
AU  - Ansari AH
AD  - Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung 
      Hospital, New Delhi, India.
LA  - eng
PT  - Case Reports
TT  - Parmaklar Bilekte iken Funny Akiminin Ehlilestirilmesi Yarali Kalbi 
      Genclestiriyor: Ivabradine Yanit Veren Atriyal Tasikardi.
PL  - Turkey
TA  - Turk Kardiyol Dern Ars
JT  - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir
JID - 9426239
RN  - 3H48L0LPZQ (Ivabradine)
SB  - IM
MH  - Male
MH  - Humans
MH  - Young Adult
MH  - Adult
MH  - Ivabradine/therapeutic use
MH  - Wrist
MH  - Heart
MH  - *Tachycardia, Supraventricular
MH  - *Cardiomyopathies
MH  - Tachycardia/drug therapy
EDAT- 2024/01/02 11:41
MHDA- 2024/01/03 09:42
CRDT- 2024/01/02 05:27
PHST- 2024/01/03 09:42 [medline]
PHST- 2024/01/02 11:41 [pubmed]
PHST- 2024/01/02 05:27 [entrez]
AID - 10.5543/tkda.2023.60296 [doi]
PST - ppublish
SO  - Turk Kardiyol Dern Ars. 2023 Dec;51(8):580-583. doi: 10.5543/tkda.2023.60296.