ATRIAL FIBRILLATION IN A YOUNG PATIENT WITH A MYOCARDIAL BRIDGE
On the example of a clinical case of atrial fibrillation (AF) in a young patient with a myocardial bridge (MB) were considered anatomical and physiological features, diagnostics, differential diagnosis of AF, and the setting of a clinical diagnosis. Recommendations for the modification of the lifestyle, as well as the tactics of medication, are described.
Clinical diagnosis.Main: Myocardial bridge of the LAD. Persistent form of atrial fibrillation, tachysystolic form. Radiofrequency ablation of the arrhythmogenic focus (isolation of pulmonary veins, linear ablation on the roof of the LP in 2016). Frequent supraventricular extrasystolic arrhythmia. Running unstable supraventricular tachycardia. CH 0 tbsp. Treatment plan: 1) Clinical follow-up at a cardiologist, neuropathologist, endocrinologist. 2) Control daily monitoring after 2 months. 3) Motor mode with moderate dynamic physical loads (increasing the walking distance to 30 km per week). 4) Medication: ˗ Bisoprolol 5 mg heart rate control with dose selection, ˗ Magnesium, pyridoxine for 1 tablet 3 times a day during 1 month.
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