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[Permanent atrial paralysis].

G Critelli, M Chiariello, S Maione

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |July 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    This case study details permanent atrial paralysis in a 68-year-old female with diabetes and cirrhosis. Investigations confirmed absent electrical and mechanical atrial activity, with a supraventricular rhythm.

    Area of Science:

    • Cardiology
    • Electrophysiology
    • Internal Medicine

    Background:

    • Atrial paralysis, characterized by the absence of electrical and mechanical atrial activity, is a rare condition.
    • This case involves a 68-year-old female with pre-existing diabetes and liver cirrhosis.

    Observation:

    • The patient presented with symptoms suggestive of atrial paralysis.
    • Standard electrocardiogram (ECG) showed an expected absence of atrial electrical activity.
    • Intracavitary electrophysiological investigation confirmed the ineffectiveness of stimulating the right atrium and coronary sinus.

    Findings:

    • His potential recordings indicated a supraventricular origin for the resultant heart rhythm.
    • Radiographic and pressure tracings (jugular venogram, apexogram, right atrial, and pulmonary capillary pressure) confirmed the absence of mechanical atrial activity.

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  • No evidence of muscular or neuromuscular dystrophy, a condition sometimes associated with atrial arrhythmias, was found.

    • Implications:

    • The case suggests a potential etio-pathological link between carbohydrate metabolism (diabetes) and the development of atrial paralysis.
    • Further research may explore the role of metabolic factors in the pathogenesis of this rare cardiac condition.
    • This case expands the understanding of atrial paralysis and its potential associations beyond known neuromuscular causes.