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Diagnosis and management of cold urticaria in cryoablation of atrial fibrillation: a case report.


ABSTRACT:

Background

Cold-induced urticaria is triggered by exposure to local or environmental cold and manifests as localized or systemic pruritic papules, sometimes accompanied by angio-oedema and anaphylaxis representing a life-threatening condition. Therapy options of atrial fibrillation (AF) include catheter ablation with different energy sources, of which cryoenergy may be superior to other energy sources regarding safety and efficacy.

Case summary

We report the case of a 60-year-old man suffering from symptomatic paroxysmal AF. The patient had a history of cold-induced urticaria without occurrence of systemic reactions to date. After successful pulmonary vein isolation (PVI) using cryoenergy, post-interventional oesophagogastroduodenoscopy and endosonography revealed newly occu

SUBMITTER: Cordes F 

PROVIDER: S-EPMC6939821 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature