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KMID : 0384320110320070423
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Korean Journal of Family Medicine
2011 Volume.32 No. 7 p.423 ~ p.427
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Paroxysmal Atrial Fibrillation Presenting as Acute Lower Limb Ischemia
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Paik Woo-Yul
Oh Mi-Kyeong
Ki Jee-Hun
Kim Ha-Gyoung
Cheong Sang-Sig
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Abstract
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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.
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KEYWORD
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Acute Lower Limb Ischemia, Paroxysmal Atrial Fibrillation, Embolism
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