• Arch Med Sci · Oct 2011

    Case Reports

    Persistent ductus arteriosus in a 72-year-old woman with paroxysmal atrial fibrillation and depression syndrome: a therapeutic and diagnostic problem.

    • Adam Rafał Poliwczak, Marzena Koziróg, Justyna Zabielska, Agnieszka Bała, Piotr Lipiec, and Marlena Broncel.
    • Department of Internal Diseases and Clinical Pharmacology, Medical University of Lodz, Poland.
    • Arch Med Sci. 2011 Oct 1; 7 (5): 914917914-7.

    AbstractTreating the elderly is often problematic, especially when congenital heart disease is diagnosed. The aim of this study is to present the case of a 72-year old woman with depression syndrome, paroxysmal atrial fibrillation and past cerebral stroke, in whom persistent ductus arteriosus Botalli was diagnosed. Due to exacerbation of the depressive syndrome, she did not give her consent to further diagnostics, possible interventional procedures and treatment with oral anticoagulants. After intermission of the therapy she was treated with dabigatran. The patient is still undergoing outpatient treatment and so far, no cerebrovascular episodes have been recorded.

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