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Related Concept Videos

Disturbances in Heart Rhythm01:28

Disturbances in Heart Rhythm

894
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
894

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Related Experiment Video

Updated: Jun 2, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Fatal Delayed Cardiac Tamponade Following Atrial Fibrillation Ablation: A Case Report.

Sylusha Gadipudi1, Yashitha Chirumamilla1, Philip J McDonald1

  • 1Internal Medicine, Hurley Medical Center, Flint, USA.

Cureus
|January 14, 2025
PubMed
Summary
This summary is machine-generated.

Cardiac tamponade, a rare but fatal complication of atrial fibrillation ablation, can occur days after the procedure. Early diagnosis via echocardiogram is crucial for managing this high-mortality event.

Keywords:
acute pericardial effusionatrial fibrillation ablationcardiac catheter ablationcardiac tamponadedelayed postoperative cardiac tamponadepericardial tamponadepericardial window

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Area of Science:

  • Cardiology
  • Cardiac Electrophysiology

Background:

  • Catheter ablation is a standard treatment for symptomatic atrial fibrillation.
  • Cardiac tamponade is a recognized, albeit infrequent, complication of this procedure.

Observation:

  • A 60-year-old male with end-stage renal disease and recent atrial fibrillation ablation presented with hypotension, confusion, and syncope.
  • Physical examination revealed hypotension and tachycardia; laboratory tests showed elevated liver enzymes and troponins.
  • Echocardiography identified a large pericardial effusion, leading to a diagnosis of cardiac tamponade.

Findings:

  • Intraoperative findings revealed a right ventricular perforation and extensive necrotic cardiac tissue.
  • Hemorrhage was uncontrollable due to the non-viable tissue, leading to cardiac arrest and the patient's demise.
  • Pericardial effusion with tamponade represents the most lethal complication associated with cardiac ablation.

Implications:

  • This case underscores the critical importance of considering delayed cardiac tamponade in patients presenting with concerning symptoms post-ablation.
  • Echocardiography serves as a rapid and effective diagnostic tool for identifying cardiac tamponade.
  • Prompt recognition and management are vital due to the high mortality rate associated with this complication.