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KMID : 1011920120130040025
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International Journal of Arrhythmia
2012 Volume.13 No. 4 p.25 ~ p.28
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A Case of Ischemic Stroke in a Patient with Atrial Fibrillation and Hypertrophic Cardiomyopathy
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Ko Jum-Suk
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Abstract
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A 54-year-old woman visited an outpatient clinic for recurrent palpitations. A 12-lead electrocardiogram obtained at the time of the event showed atrial fibrillation with rapid ventricular response. There was no risk factor for thromboembolism, but two-dimensional echocardiography showed typical findings of hypertrophic cardiomyopathy. We administered amiodarone, a beta-blocker, and aspirin. Six months later, the patient developed sudden hemiplegia. Brain magnetic resonance imaging showed multiple embolic infarctions in the middle cerebral artery territory. After conservative treatment and rehabilitation, the patient recovered without sequelae. Anticoagulation therapy with warfarin was continued thereafter.
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KEYWORD
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atrial fibrillation, hypertrophic cardiomyopathy, stroke
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