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Paroxysmal Atrial Fibrillation Presenting as Acute Lower Limb Ischemia

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초록

An ischemic foot can be developed by acute arterial occlusion. Given proper treatment within critical time, the patient can avoid foot amputation and death. Early proper diagnosis and treatment by family physician at the initial clinical interviewing is important in saving the affected leg and the life. Thrombosis and embolism are the common causes of acute arterial occlusion. Thrombosis mostly arises from underlying cardiac disease such as arrhythmia, coronary artery disease and valvular heart disease while arterial occlusion by embolism can be shown on a narrowed artery related with systemic atherosclerosis. Because the treatment options depend on the underlying cause of the acute ischemic foot, it is important to identify the cause of acute ischemic foot. At this paper, we reported a case that the cause of acute ischemic foot of the patient proved paroxysmal atrial fi brillation after some diagnostic tests.

Abstract

An ischemic foot can be developed by acute arterial occlusion. Given proper treatment within critical time, the patient can avoid foot amputation and death. Early proper diagnosis and treatment by family physician at the initial clinical interviewing is important in saving the affected leg and the life. Thrombosis and embolism are the common causes of acute arterial occlusion. Thrombosis mostly arises from underlying cardiac disease such as arrhythmia, coronary artery disease and valvular heart disease while arterial occlusion by embolism can be shown on a narrowed artery related with systemic atherosclerosis. Because the treatment options depend on the underlying cause of the acute ischemic foot, it is important to identify the cause of acute ischemic foot. At this paper, we reported a case that the cause of acute ischemic foot of the patient proved paroxysmal atrial fi brillation after some diagnostic tests.

참고문헌 (11)

  1. O'Connell JB, "Proper evaluation and management of acute embolic versus thrombotic limb ischemia", Semin Vasc Surg, 22, pp.10~16 (2009)
  2. Hart RG, "Stroke with intermitt ent atrial fi brillation: incidence and predictors during aspirin therapy. Stroke Prevention in Atrial Fibrillation Investigators", J Am Coll Cardiol, 35, pp.183~187 (2000)
  3. Hohnloser SH, "Incidence of stroke in paroxysmal versus sustained atrial fibrillation in patients taking oral anticoagulation or combined antiplatelet therapy: an ACTIVE W Substudy", J Am Coll Cardiol, 50, pp.2156~2161 (2007)
  4. Walker TG, "Acute limb ischemia", Tech Vasc Interv Radiol, 12, pp.117~129 (2009)
  5. Rutherford RB, "Clinical staging of acute limb ischemia as the basis for choice of revascularization method: when and how to intervene", Semin Vasc Surg, 22, pp.5~9 (2009)
  6. Green RM, "Arterial embolectomy before and aft er the Fogarty catheter", Surgery, 77, pp.24~33 (1975)
  7. Saliba W, "Incidental atrial fibrillation and its management", Postgrad Med, 123, pp.27~35 (2011)
  8. Menke J, "Th romboembolism in atrial fi brillation", Am J Cardiol, 105, pp.502~510 (2010)
  9. ACTIVE Writing Group of the ACTIVE Investigators, "Clopidogrel plus aspirin versus oral anticoagulation for atrial fibrillation in the Atrial fibrillation Clopidogrel Trial with Irbesartan for prevention of Vascular Events (ACTIVE W): a randomised controlled trial", Lancet, 367, pp.1903~1912 (2006)
  10. Hart RG, "Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fi brillation", Ann Intern Med, 146, pp.857~867 (2007)
  11. 이진욱, "상지 동맥의 급성 혈전색전증", 대한외과학회지, 79(6), pp.491~496 (2010), 대한외과학회

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