Kobayashi N, Takayama M, Yamaura S, Ushimaru H, Ochi T, Saito M
Department of Internal Medicine, Yodakubo Hospital, Nagano, Japan.
Jpn Circ J. 2000 Jan;64(1):76-9. doi: 10.1253/jcj.64.76.
This report describes a patient with the pulmonary edema after cardioversion for paroxysmal atrial flutter without organic heart disease. A 68-year-old man was admitted to hospital for paroxysmal atrial flutter. Antiarrhythmic agents were not effective, and direct current cardioversion was performed on the 4th hospital day. Three hours after cardioversion, the patient complained of dyspnea, and a chest X-ray showed pulmonary edema. He responded to oxygen, intravenous furosemide and drip infusion of nitroglycerine. During tapering of the medication, his condition remained stable. The patient was discharged on the 7th day after admission. Echocardiographic findings indicated that transient left ventricular diastolic dysfunction due to direct current shock was the most likely cause of the lung edema.
本报告描述了一名无器质性心脏病的阵发性心房扑动患者在心脏复律后发生肺水肿的情况。一名68岁男性因阵发性心房扑动入院。抗心律失常药物无效，于住院第4天进行了直流电复律。复律后3小时，患者诉呼吸困难，胸部X线显示肺水肿。给予吸氧、静脉注射呋塞米和静脉滴注硝酸甘油后症状缓解。在逐渐减少用药期间，他的病情保持稳定。患者于入院后第7天出院。超声心动图检查结果表明，直流电休克导致的短暂性左心室舒张功能障碍最有可能是肺水肿的原因。
