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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Catheter ablation for atrial fibrillation

5

XI.k Esophageal hematoma (may cause chest pain and/or tracheal compression)

1
Last update : 03/01/2017
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Anticoagulants, direct oral (anti-thrombin, -IIa, -Xa) - NOAC
3
Anticoagulants, oral (vitamin K antagonists-VKA)
5
Electrophysiologic procedures
2

Publications

[Rare but frequently lethal complication of pulmonary vein isolation].
Herzschrittmachertherapie & Elektrophysiologie 2021 Dec;32;463-466 2021 Dec
Esophageal hematoma complicating catheter ablation for atrial fibrillation.
Journal of cardiovascular electrophysiology 2009 Feb;20;221-3 2009 Feb

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