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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Signs and symptoms of complications of catheter ablation to prevent atrial fibrillation within a month post-ablation

Signs and symptoms of complications of catheter ablation to prevent atrial fibrillation within a month post-ablation
Sign/symptom Differential Suggested evaluation
Back pain Musculoskeletal, retroperitoneal hematoma Physical exam, CT imaging
Chest pain Pericarditis, pericardial effusion, coronary stenosis (ablation related), pulmonary vein stenosis, musculoskeletal (after cardioversion), worsening reflux Physical exam, chest radiograph, ECG, echocardiogram, stress test, cardiac catheterization, chest CT
Cough Infectious process, bronchial irritation (mechanical, cryoballoon), pulmonary vein stenosis Physical exam, chest radiograph, chest CT
Dysphagia Esophageal irritation (related to transesophageal echocardiography), atrioesophageal fistula Physical exam, chest CT, MRI
Early satiety, nausea Gastric denervation Physical exam, gastric emptying study
Fever Infectious process, pericarditis, atrioesophageal fistula Physical exam, chest radiograph, chest CT, urinalysis, laboratory blood work
Fever, dysphagia, neurological symptoms Atrial esophageal fistula Physical exam, laboratory blood work, chest CT or MRI; avoid endoscopy with air insufflation
Groin pain Pseudoaneurysm, AV fistula, hematoma Ultrasound of the groin, laboratory blood work; consider CT scan if ultrasound negative
Hypotension Pericardial effusion/tamponade, bleeding, sepsis, persistent vagal reaction Echocardiography, laboratory blood work
Hemoptysis Pulmonary vein stenosis or occlusion, pneumonia Chest radiograph, chest CT or MR scan, VQ scan
Neurological symptoms Cerebral embolic event, atrial esophageal fistula Physical exam, brain imaging, chest CT or MRI
Shortness of breath Volume overload, pneumonia, pulmonary vein stenosis, phrenic nerve injury Physical exam, chest radiograph, chest CT, laboratory blood work
CT: computed tomography; ECG: electrocardiogram; MRI: magnetic resonance imaging; AV: atrioventricular.
Adapted from: Calkins H, Hindricks G, Cappato R, et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation: Executive summary. J Interv Card Electrophysiol 2017; 50:1. Available at: https://link.springer.com/article/10.1007%2Fs10840-017-0277-z. Copyright © 2017 The Authors. Reproduced under the terms of the Creative Commons Attribution License 4.0.
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