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...

Full description

Bibliographic Details
Main Authors: Anas Mohamad Hashem, Omar Al Ali, Amani Khalouf, Ahmed Shehadah, Moghniuddin Mohammed, Amir Mahmoud, Maryrose Laguio-Vila, Mohan Rao
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-023-03376-8
_version_ 1797779079387152384
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
work_keys_str_mv AT anasmohamadhashem shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation
AT omaralali shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation
AT amanikhalouf shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation
AT ahmedshehadah shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation
AT moghniuddinmohammed shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation
AT amirmahmoud shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation
AT maryroselaguiovila shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation
AT mohanrao shockedtodeathacasereportofcardiogenicshockanddeathfollowingelectrocardioversionforatrialfibrillation