title: ECG of the month. Cardiac failure and stroke in a 43-year-old woman. Coarse atrial fibrillation indicating left atrial enlargement and left ventricular hypertrophy with repolarization abnormality.
abstract: A 43-year-old woman with a long history of heavy cigarette smoking was in good health until she developed fatigue, dyspnea on exertion, and paroxysmal nocturnal dyspnea approximately three months before admission to our hospital. Four weeks before admission, she was admitted to another hospital for the sudden onset of a right hemiparesis. She was noted to be in atrial fibrillation, and cardiac catheterization and angiocardiography revealed triple-vessel coronary arterial disease and moderately severe mitral regurgitation. Because of repeated episodes of paroxysmal nocturnal dyspnea, she was referred to our hospital for cardiac surgery. On admission, an electrocardiogram was recorded (Figure).
authors: Louisiana State University Health Sciences Center, New Orleans, USA.
authors: D Luke
authors: DL
authors: Glancy
authors: Prashanthi
authors: P
authors: Atluri
authors: Herman
authors: H
authors: Heck
authors: Jess
authors: J
authors: Duet
authors: Kian
authors: K
authors: Ehsan
authors: Vijayendra
authors: V
authors: Jaligam
authors: Frederick
authors: F
authors: Helmcke
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006332:Cardiomegaly / Q000150:complications; D004418:Dyspnea, Paroxysmal / Q000150:complications; D004562:Electrocardiography; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000150:complications; D008944:Mitral Valve Insufficiency / Q000150:complications; D020521:Stroke / Q000209:etiology