engleski

CARDIAC ELECTRICAL INJURY AFTER CARDIOVERSION OF ATRIAL FLUTTER

A 66-year old lady was hospitalized because of atrial flutter with fast ventricular response, lasting up to 24 hours. Medicamental cardioversion failed and heart rate was constantly 110–130 beats/min. TTE revealed preserved ejection fraction, hypokinetic interventricular septum and no valvular disease. TEE showed dense spontaneous echo contrast in the left atrium, without visible thrombus.Three days after admission, adequate anticoagulation with LMWH and warfarin, electrocardioversion was preformed with 120J and resulted in asystolia. After short CPR, restoriation of spontaneous circulation was achieved, but with loss of spontaneous repirations. Patient was intubated and mechanically ventilated, and low doses of dopamine were initiated. There was sinus rhythm with ST elevation in inferolateral leads on control ECG.

electrical injury, cardioversion

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