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Case Report
Lone atrial fibrillation: A case report on a rare complication of pregnancy
1 Department of Medicine, The Brooklyn Hospital Center, 121 Dekalb Avenue, Brooklyn, NY 11201, USA
2 Division of Cardiology, The Brooklyn Hospital Center, 121 Dekalb Avenue, Brooklyn, NY 11201, USA
Address correspondence to:
Samridhi Sinha
Department of Medicine, The Brooklyn Hospital Center, 121 Dekalb Avenue, Brooklyn, NY 11201,
USA
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Article ID: 100014C03SS2023
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How to cite this article
Sinha S, Devarakonda PK, Rodriguez CA. Lone atrial fibrillation: A case report on a rare complication of pregnancy. Edorium J Cardiol 2023;8(2):1–4.ABSTRACT
Atrial fibrillation (AF) is one of the most common arrhythmias and is a rare phenomenon seen in pregnant patients unless there is an underlying cardiopulmonary abnormality. Lone AF in pregnancy is a diagnosis of exclusion. A thorough workup including history, physical examination, imaging, and laboratory workup should be done diligently to exclude cardiopulmonary diseases (like hypertensive heart disease, congenital heart disease, valvular heart disease, asthma or chronic obstructive pulmonary disease, pulmonary embolism, rheumatic heart disease) and non-cardiac diseases (such as hyperthyroidism or electrolyte abnormalities or medications). There are very few case reports and studies published so far on this topic. This case report is on a pregnant patient without any significant past medical history who developed new-onset lone AF without any known cause and was managed with Diltiazem, which resulted in chemical cardioversion of atrial fibrillation with rapid ventricular rate to normal sinus rhythm.
Keywords: Anticoagulant, Antiarrhythmics, Cardioversion, Lone atrial fibrillation in pregnancy
SUPPORTING INFORMATION
Author Contributions
Samridhi Sinha - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Pradeep Kumar Devarakonda - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Cesar Ayala Rodriguez - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Samridhi Sinha et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
