Márcio Galindo Kiuchi
Hospital e Clínica São Gonçalo,
São Gonçalo, RJ
Brazil
Case Report
Case Report: Renal Sympathetic Denervation + Pulmonary Vein Reisolation in Patients with Long-stand Persistent Atrial Fibrillation and Resistant Hypertension. Does it Work?
Author(s): Márcio Galindo Kiuchi, Gustavo Ramalho da Silva, Luis Marcelo Rodrigues Paz and Gladyston Luiz Lima SoutoMárcio Galindo Kiuchi, Gustavo Ramalho da Silva, Luis Marcelo Rodrigues Paz and Gladyston Luiz Lima Souto
Introduction: A recent study reported that renal sympathetic denervation (RSD) reduces systolic and diastolic blood pressure (BP) in patients with drug-resistant hypertension and reduces atrial fibrillation (AF) recurrences when combined with pulmonary vein isolation (PVI), in a prospective randomized study that assessed the impact of renal artery denervation in patients with a history of refractory AF and drug-resistant hypertension who were referred for PVI.
Case presentation: In this series of cases of long-standing persistent atrial fibrillation (LSPAF) we report 5 cases refractory to treatment with antiarrhythmic drug that underwent to AF catheter ablation, at least one year. The five patients complained about tachycardic palpitations often, as well as, episodes of dyspnea and pre-syncope, were taking amiodarone 200 mg/day and returned to present LSPAF. Moreover, all of t.. View More»
