Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation
Abstract Background Atrial fibrillation (AF) is prevalent, especially in patients with heart failure. Their prevalence increases with age and both conditions are interrelated. Electrocardioversion (ECV) is considered a safe and effective procedure and is among one of the recommended therapies to ter...
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Format: | Article |
Language: | English |
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BMC
2023-07-01
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Series: | BMC Cardiovascular Disorders |
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Online Access: | https://doi.org/10.1186/s12872-023-03376-8 |
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author | Anas Mohamad Hashem Omar Al Ali Amani Khalouf Ahmed Shehadah Moghniuddin Mohammed Amir Mahmoud Maryrose Laguio-Vila Mohan Rao |
author_facet | Anas Mohamad Hashem Omar Al Ali Amani Khalouf Ahmed Shehadah Moghniuddin Mohammed Amir Mahmoud Maryrose Laguio-Vila Mohan Rao |
author_sort | Anas Mohamad Hashem |
collection | DOAJ |
description | Abstract Background Atrial fibrillation (AF) is prevalent, especially in patients with heart failure. Their prevalence increases with age and both conditions are interrelated. Electrocardioversion (ECV) is considered a safe and effective procedure and is among one of the recommended therapies to terminate AF back to normal sinus rhythm. Our study highlights one of the rare complications following ECV. Case summary A 71-year-old female with a history of atrial fibrillation underwent electrocardioversion and developed sudden onset of ventricular stunning resulting in refractory cardiogenic shock. She was treated with mechanical cardiac support including IABP and Impella. Both provided minimal support then rapid clinical deterioration happened leading to imminent death. Conclusion Patients with atrial fibrillation and heart failure treated with electrocardioversion might develop refractory cardiogenic shock and death as a complication of this procedure. |
first_indexed | 2024-03-12T23:26:34Z |
format | Article |
id | doaj.art-d4ed1343c71242d88180ba8090cda8fe |
institution | Directory Open Access Journal |
issn | 1471-2261 |
language | English |
last_indexed | 2024-03-12T23:26:34Z |
publishDate | 2023-07-01 |
publisher | BMC |
record_format | Article |
series | BMC Cardiovascular Disorders |
spelling | doaj.art-d4ed1343c71242d88180ba8090cda8fe2023-07-16T11:09:03ZengBMCBMC Cardiovascular Disorders1471-22612023-07-012311610.1186/s12872-023-03376-8Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillationAnas Mohamad Hashem0Omar Al Ali1Amani Khalouf2Ahmed Shehadah3Moghniuddin Mohammed4Amir Mahmoud5Maryrose Laguio-Vila6Mohan Rao7Internal medicine resident, Rochester General HospitalInternal medicine resident, Rochester General HospitalInternal medicine resident, Rochester General HospitalInternal medicine resident, Rochester General HospitalSands-Constellation Heart Institute, Rochester General HospitalInternal medicine resident, Rochester General HospitalDepartment of Infectious Disease, Rochester General HospitalSands-Constellation Heart Institute, Rochester General HospitalAbstract Background Atrial fibrillation (AF) is prevalent, especially in patients with heart failure. Their prevalence increases with age and both conditions are interrelated. Electrocardioversion (ECV) is considered a safe and effective procedure and is among one of the recommended therapies to terminate AF back to normal sinus rhythm. Our study highlights one of the rare complications following ECV. Case summary A 71-year-old female with a history of atrial fibrillation underwent electrocardioversion and developed sudden onset of ventricular stunning resulting in refractory cardiogenic shock. She was treated with mechanical cardiac support including IABP and Impella. Both provided minimal support then rapid clinical deterioration happened leading to imminent death. Conclusion Patients with atrial fibrillation and heart failure treated with electrocardioversion might develop refractory cardiogenic shock and death as a complication of this procedure.https://doi.org/10.1186/s12872-023-03376-8ElectrocardioversionAtrial fibrillationCardiogenic shockCase Report |
spellingShingle | Anas Mohamad Hashem Omar Al Ali Amani Khalouf Ahmed Shehadah Moghniuddin Mohammed Amir Mahmoud Maryrose Laguio-Vila Mohan Rao Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation BMC Cardiovascular Disorders Electrocardioversion Atrial fibrillation Cardiogenic shock Case Report |
title | Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation |
title_full | Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation |
title_fullStr | Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation |
title_full_unstemmed | Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation |
title_short | Shocked to death: a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation |
title_sort | shocked to death a case report of cardiogenic shock and death following electrocardioversion for atrial fibrillation |
topic | Electrocardioversion Atrial fibrillation Cardiogenic shock Case Report |
url | https://doi.org/10.1186/s12872-023-03376-8 |
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