Author/Authors :
Nicolae Tesloianu, Dan Departments of Cardiology - “Sf. Spiridon” Emergency Hospital - Iaşi - Romania , Ursaru, Andreea-maria Departments of Cardiology - “Sf. Spiridon” Emergency Hospital - Iaşi - Romania , Mitu, Ovidiu Departments of Morphopathology - “Sf. Spiridon” Emergency Hospital - Iaşi - Romania , Bostaca, Tamara Departments of Radiology - “Sf. Spiridon” Emergency Hospital - Iaşi - Romania , Danila, Nicolae Departments of Surgery - Grigore T. Popa University of Medicine and Pharmacy - Iaşi - Romania , Ciobanu, Delia Departments of Morphopathology - Grigore T. Popa University of Medicine and Pharmacy - Iaşi - Romania , Octavian Petris, Antoniu Departments of Cardiology - Grigore T. Popa University of Medicine and Pharmacy - Iaşi - Romania
Abstract :
A 54-year-old man, previously diagnosed with neurofibromatosis type 1 (NF-1) and depressive affective disorder, presented
with vertigo, repetitive presyncope and palpitations. Physical
examination revealed multiple neurofibromas, café-au-lait spots
and axillary freckling (Fig. 1), tachyarrhythmia, and high blood
pressure (BP). Electrocardiogram (ECG) indicated paroxysmal
atrial flutter of 150 beats per minute with frequent recurrence.
Stable sinus rhythm was achieved with alfa/beta blockers and amiodarone.
