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Cardiogenic shock following electro-cardioversion of new onset atrial flutter
M Usman Khan1, Rami N Khouzam, Heena Khalid
1Division of Cardiovascular Diseases, Department of Internal Medicine, University of Tennessee Health Science Center Memphis, 6283 Common Oaks Crt # 106, Memphis, TN 38120, USA.
Abstract:
Transient hypotension and atrial stunning are known complications of electro-cardioversion for supra-ventricular tachyarrhythmias, however, a clinically significant cardiac failure is extremely rare in this setting. We, herein, present a 77-year-old African American male who underwent electro-cardioversion following an unremarkable transesophageal echocardiogram (TEE) for a symptomatic atrial flutter of a new onset. Immediately post-cardioversion, he suffered severe hypotension with a depressed LV systolic function. IV dobutamine stabilized his blood pressure.
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