Division of Cardiovascular Diseases, Department of Internal Medicine, University of Tennessee Health Science Center Memphis, 6283 Common Oaks Crt # 106, Memphis, TN 38120, USA.
Heart Lung. 2013 Nov-Dec;42(6):462-4. doi: 10.1016/j.hrtlng.2013.07.007. Epub 2013 Aug 19.
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.
短暂性低血压和心房顿抑是经心内电复律治疗室上性心动过速的已知并发症，然而，在此情况下临床显著的心衰极为罕见。我们在此报告了一例 77 岁非裔美国男性患者，他在经食管超声心动图（TEE）检查后进行了电复律治疗，用于治疗新发的有症状的心房扑动。电复律后，他立即出现严重低血压和左心室收缩功能下降。静脉注射多巴酚丁胺稳定了他的血压。
