Past medical history
The patient had a history of arterial hypertension, dyslipidemia and
sleep apnea-hypoapnea syndrome (SAHS) in treatment with CPAP. Paroxysmal
AF was diagnosticated five years ago undergoing electrical cardioversion
with premature recurrence. Dronedarone was initially used as an
antiarrhythmic drug, but after the recurrence of AF was changed to
amiodarone. Echocardiography showed left atrial enlargement with
preserved left ventricular function without valvulopathies.
Despite the treatment with amiodarone the patient persisted in AF so a
new electrical cardioversion was programmed followed by pulmonary vein
isolation.