title: Interest of ultrasonographic assessment of diaphragmatic function in cardiac rehabilitation center: a case report.
abstract: Diaphragmatic paresis is a rare but recognized complication of atrial fibrillation ablation.A 59-year-old woman experiencing dyspnea in supine position and for minimal effort was admitted in a cardiac rehabilitation center. One month before, she was referred to a cardiac center to ablation of paroxysmal atrial fibrillation. After the procedure, the patient developed respiratory failure attributed to aspiration pneumonia and requiring mechanical ventilation.At admission in the rehabilitation center, M-mode ultrasonography reported an absence of movement of the right hemidiaphragm during quiet breathing and a paradoxical movement during voluntary sniffing.Chest ultrasonography can be useful to detect diaphragmatic dysfunction in patients suffering from dyspnea, at admission in a cardiac rehabilitation center. Its use should be envisaged more frequently.
authors.affiliation: From the UMRMD2, Aix-Marseille University and IRBA, Marseille (AB, GC); Unité de Réhabilitation Cardiologique, Hôpital Léon-Bérard, Hyères, France (LP).
authors.forename: Alain
authors.initials: A
authors.lastname: Boussuges
authors.forename: Guillaume
authors.initials: G
authors.lastname: Chaumet
authors.forename: Laurent
authors.initials: L
authors.lastname: Poirette
mesh_terms: D055011:Ablation Techniques / Q000009:adverse effects*; D001281:Atrial Fibrillation / Q000601:surgery*; D003964:Diaphragm / Q000000981:diagnostic imaging*; D004417:Dyspnea / Q000209:etiology* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012047:Rehabilitation Centers; D014463:Ultrasonography