Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature review

This report highlights the feasibility of electrical cardioversion intervention for the treatment of heat stroke complicated by rapid atrial fibrillation. There has never been any mentions in the previous literature of the possibility of electrical cardioversion in the event of heat stroke complicat...

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Main Authors: Wei Wang, Ying Zhang, Yun Li, Wen-Hui Zhai
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023028438
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author Wei Wang
Ying Zhang
Yun Li
Wen-Hui Zhai
author_facet Wei Wang
Ying Zhang
Yun Li
Wen-Hui Zhai
author_sort Wei Wang
collection DOAJ
description This report highlights the feasibility of electrical cardioversion intervention for the treatment of heat stroke complicated by rapid atrial fibrillation. There has never been any mentions in the previous literature of the possibility of electrical cardioversion in the event of heat stroke complicated by rapid arrhythmia. A 61-year-old man with classic heat stroke complicated by rapid atrial fibrillation was admitted to our emergency department. In the early stages of treatment, hemodynamics were not stable under the treatments of aggressive cooling and volume-expanding rehydration. It was considered to be related to rapid atrial fibrillation, and the administration of drug cardiover and control of ventricular rate failed. Subsequently, synchronous electrical cardioversion was given 3 times (biphasic wave, energy: 70J-80J–100J, respectively), successfully cardioversion and hemodynamically stable. Although the patient eventually died of progressive deterioration of multiple organ failure, timely cardioversion might be effective for the treatment of heat stroke complicated by rapid atrial fibrillation.
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spelling doaj.art-981d387b5f634a2fb0f0398d881ec08b2023-05-31T04:45:00ZengElsevierHeliyon2405-84402023-05-0195e15636Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature reviewWei Wang0Ying Zhang1Yun Li2Wen-Hui Zhai3Department of Emergency, 305 Hospital of PLA, Beijing, ChinaDepartment of Emergency, 305 Hospital of PLA, Beijing, ChinaDepartment of Emergency, 305 Hospital of PLA, Beijing, ChinaCorresponding author.; Department of Emergency, 305 Hospital of PLA, Beijing, ChinaThis report highlights the feasibility of electrical cardioversion intervention for the treatment of heat stroke complicated by rapid atrial fibrillation. There has never been any mentions in the previous literature of the possibility of electrical cardioversion in the event of heat stroke complicated by rapid arrhythmia. A 61-year-old man with classic heat stroke complicated by rapid atrial fibrillation was admitted to our emergency department. In the early stages of treatment, hemodynamics were not stable under the treatments of aggressive cooling and volume-expanding rehydration. It was considered to be related to rapid atrial fibrillation, and the administration of drug cardiover and control of ventricular rate failed. Subsequently, synchronous electrical cardioversion was given 3 times (biphasic wave, energy: 70J-80J–100J, respectively), successfully cardioversion and hemodynamically stable. Although the patient eventually died of progressive deterioration of multiple organ failure, timely cardioversion might be effective for the treatment of heat stroke complicated by rapid atrial fibrillation.http://www.sciencedirect.com/science/article/pii/S2405844023028438Heat strokeRapid atrial fibrillationElectrical cardioversion intervention
spellingShingle Wei Wang
Ying Zhang
Yun Li
Wen-Hui Zhai
Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature review
Heliyon
Heat stroke
Rapid atrial fibrillation
Electrical cardioversion intervention
title Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature review
title_full Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature review
title_fullStr Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature review
title_full_unstemmed Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature review
title_short Electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation: A case report and literature review
title_sort electrical cardioversion intervention in a patient with heat stroke accompanied by rapid atrial fibrillation a case report and literature review
topic Heat stroke
Rapid atrial fibrillation
Electrical cardioversion intervention
url http://www.sciencedirect.com/science/article/pii/S2405844023028438
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