Atrial Flutter Following Shockwave Intravascular Lithotripsy During Percutaneous Intervention of Left Anterior Descending Disease
| Autor: | Anthony Kechichian, Chadi Allam, Georges Badaoui, Zeina Kadri, Mario Njeim |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Atrial Repolarization Percutaneous business.industry medicine.medical_treatment Supraventricular Tachyarrhythmias General Medicine Lithotripsy Amiodarone medicine.disease Internal medicine cardiovascular system medicine Cardiology Sinus rhythm cardiovascular diseases Cardiology and Cardiovascular Medicine business After treatment Atrial flutter medicine.drug |
| Zdroj: | Cardiovascular Revascularization Medicine. 40:205-208 |
| ISSN: | 1553-8389 |
| DOI: | 10.1016/j.carrev.2021.09.005 |
| Popis: | A 72-year-old woman undergoing percutaneous intervention to a calcified proximal left anterior descending (LAD) coronary artery lesion using Shockwave Intravascular Lithotripsy (S-IVL) developed new atrial flutter. She then returned to sinus rhythm after treatment with amiodarone. S-IVL can cause cardiomyocyte depolarization. We hypothesize that pacing can occur during atrial repolarization, inducing supraventricular tachyarrhythmias and even triggering atrial macro re-entrant circuits. We recommend synchronizing shock wave delivery with R waves on the electrocardiogram to lower the risk of arrhythmias. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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