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Vagally Mediated Paroxysmal Atrial Fibrillation Derived from the Central Nervous System

      Parkinson's syndrome patients always have accompanying autonomic nervous dysfunction, including atrial fibrillation. Are there any new therapeutic options for these patients beyond traditional antiarrhythmia treatment? Here we highlight a case of vagally mediated paroxysmal atrial fibrillation in an elderly patient.
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      References

        • Goldstein DS
        • Eldadah BA
        • Holmes C
        • et al.
        Dysautonomia in Parkinson's disease: neurocardiological abnormalities.
        Lancet Neurol. 2003; 2: 669-676
        • Tipre DN
        • Goldstein DS
        Cardiac and extracardiac sympathetic denervation in Parkinson's disease with orthostatic hypotension and in pure autonomic failure.
        J Nucl Med. 2005; 46: 1775-1781
        • Mozaffarian D
        • Furberg CD
        • Psaty BM
        • Siscovick D
        Physical activity and incidence of atrial fibrillation in older adults: the Cardiovascular Health Study.
        Circulation. 2008; 118: 800-807
        • Fedorowski A
        • Hedblad B
        • Engstrom G
        • Smith JG
        • Melander O
        Orthostatic hypotension and long-term incidence of atrial fibrillation: the Malmo Preventive Project.
        J Intern Med. 2010; 268: 383-389