An Unusual Etiology for a 37-Year-Old Man With Paroxysmal Atrial Fibrillation and Termination Pause

Hung-Chou Yang, MD; Jo-Nan Liao, MD; Liang-Tsai Hsiao, MD, PhD; Wen-Chung Yu, MD; Shih-Ann Chen, MD

JACC: Case Reports (Jan 2021)

An Unusual Etiology for a 37-Year-Old Man With Paroxysmal Atrial Fibrillation and Termination Pause

Hung-Chou Yang, MD,
Jo-Nan Liao, MD,
Liang-Tsai Hsiao, MD, PhD,
Wen-Chung Yu, MD,
Shih-Ann Chen, MD

Affiliations

Hung-Chou Yang, MD: Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Cardiovascular Research Center, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan
Jo-Nan Liao, MD: Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Cardiovascular Research Center, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan; Address for correspondence: Dr. Jo-Nan Liao, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan.
Liang-Tsai Hsiao, MD, PhD: Division of Haematology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan
Wen-Chung Yu, MD: Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Cardiovascular Research Center, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan
Shih-Ann Chen, MD: Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Cardiovascular Research Center, Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan

Journal volume & issue: Vol. 3, no. 1
pp. 165 – 168

Abstract

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This report describes a young patient with paroxysmal atrial fibrillation (AF) with termination pause. Primary mediastinal large B-cell lymphoma with pericardial and right atrial involvement was diagnosed, and he was free of AF after chemotherapy. Therefore, for young patients with tachy-brady syndrome, thorough evaluation for other causes is recommended. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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