Iatrogenic ventricular fibrillation caused by inappropriately synchronized cardioversion in a patient with pre-excited atrial fibrillation: A case report
| Autor: | Syuhei Ikeda, Masaharu Akao, Kosuke Doi, Yoshimori An, Yuya Aono, Hisashi Ogawa, Mitsuru Abe, Mitsuru Ishii, Masami Yanagisawa, Moritake Iguchi, Nobutoyo Masunaga, Kenjiro Ishigami |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Ventricular Repolarization business.industry medicine.medical_treatment Case Report Atrial fibrillation Accessory pathway 030204 cardiovascular system & hematology medicine.disease Cardioversion 03 medical and health sciences QRS complex 0302 clinical medicine Shock (circulatory) Internal medicine Ventricular fibrillation cardiovascular system medicine Cardiology cardiovascular diseases 030212 general & internal medicine R wave amplitude medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | J Cardiol Cases |
| ISSN: | 1878-5409 |
| DOI: | 10.1016/j.jccase.2020.08.014 |
| Popis: | Direct-current (DC) cardioversion is effective at terminating arrhythmias in an emergency. During treatment, energy delivery synchronizing with the QRS complex is essential to avoid ventricular fibrillation (VF) caused by a shock on the T wave, which is the vulnerable period of ventricular repolarization. However, distinguishing the QRS from the T wave is difficult in some patients with abnormal, irregular, and varying QRS complexes. We report the case of a 45-year-old man who had iatrogenic VF caused by inappropriate synchronization with the T wave during cardioversion of pre-excited atrial fibrillation due to high ventricular rates and varying R wave amplitude affected by an accessory pathway. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect