Paroxysmal Atrial Fibrillation and a Broken Heart: Anesthetic Goals for Cardioversion

Authors

Alan Nguyen, Oakland University William Beaumont School of Medicine Medical Student
Youssef Daklallah, Beaumont Health Resident
Roy G. Soto, Beaumont Health

Document Type

Conference Proceeding - Restricted Access

Publication Date

10-10-2021

Abstract

A 46-year-old man with a history of paroxysmal atrial fibrillation status post-cardioversion in 2018, chronic myeloid leukemia, chemotherapy induced cardiomyopathy, and combined diastolic and systolic heart failure who previously declined LVAD placement presented to the ED with shortness of breath. Atrial fibrillation and global left ventricular hypokinesis with ejection fraction of 15-20% were revealed on electrocardiogram and transthoracic echocardiogram, respectively. After two days of medical management, the decision was made to cardiovert the patient under total intravenous anesthesia. With this case we will discuss the indications and contraindications of cardioversion, complications, anesthetic options, and therapies for refractory cases.

Comments

American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.

Recommended Citation

Nguyen A, Daklallah Y Soto RG. Paroxysmal atrial fibrillation and a broken heart: anesthetic goals for cardioversion. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/4919