Paroxysmal Atrial Fibrillation Presenting as Acute Lower Limb Ischemia.
10.4082/kjfm.2011.32.7.423
- Author:
Wooyul PAIK
1
;
Mi Kyeong OH
;
Jee Hun KI
;
Ha Gyoung KIM
;
Sang Sig CHEONG
Author Information
1. Department of Family Medicine, Gangneung Asan Hospital, University of Ulsan, Gangneung, Korea. omk@gnah.co.kr
- Publication Type:Case Report
- Keywords:
Acute Lower Limb Ischemia;
Paroxysmal Atrial Fibrillation;
Embolism
- MeSH:
Amputation;
Arrhythmias, Cardiac;
Arteries;
Atherosclerosis;
Atrial Fibrillation;
Coronary Artery Disease;
Diagnostic Tests, Routine;
Embolism;
Embolism and Thrombosis;
Foot;
Heart Diseases;
Heart Valve Diseases;
Humans;
Ischemia;
Leg;
Lower Extremity;
Physicians, Family;
Thrombosis
- From:Korean Journal of Family Medicine
2011;32(7):423-427
- CountryRepublic of Korea
- Language:English
-
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 fibrillation after some diagnostic tests.
