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Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response

We present the case of a 43-year-old man with a history of atrial fibrillation and poor medical compliance who presented to the emergency department with palpitations for three hours. Electrocardiogram (ECG) revealed atrial fibrillation with rapid ventricular response at 119 beats per minute. Follow...

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Autores principales: Lee, Woo Kyung, Shameem, Masra, Ganti, Latha, Banerjee, Paul R, Shivdat, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769750/
https://www.ncbi.nlm.nih.gov/pubmed/33391915
http://dx.doi.org/10.7759/cureus.11678
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author Lee, Woo Kyung
Shameem, Masra
Ganti, Latha
Banerjee, Paul R
Shivdat, John
author_facet Lee, Woo Kyung
Shameem, Masra
Ganti, Latha
Banerjee, Paul R
Shivdat, John
author_sort Lee, Woo Kyung
collection PubMed
description We present the case of a 43-year-old man with a history of atrial fibrillation and poor medical compliance who presented to the emergency department with palpitations for three hours. Electrocardiogram (ECG) revealed atrial fibrillation with rapid ventricular response at 119 beats per minute. Following administration of diltiazem 10 mg IV, the patient became bradycardic with a rate of 30 beats per minute and complete atrioventricular node block. A subsequent ECG revealed asystole, and the patient became unresponsive. Chest compressions were administered, and the rhythm changed to ventricular tachycardia. There was spontaneous return of circulation without any further intervention. The patient eventually converted to sinus rhythm and was started on anticoagulation to prevent a thrombotic event. He was discharged the next day with apixaban and propafenone.
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spelling pubmed-77697502020-12-31 Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response Lee, Woo Kyung Shameem, Masra Ganti, Latha Banerjee, Paul R Shivdat, John Cureus Cardiology We present the case of a 43-year-old man with a history of atrial fibrillation and poor medical compliance who presented to the emergency department with palpitations for three hours. Electrocardiogram (ECG) revealed atrial fibrillation with rapid ventricular response at 119 beats per minute. Following administration of diltiazem 10 mg IV, the patient became bradycardic with a rate of 30 beats per minute and complete atrioventricular node block. A subsequent ECG revealed asystole, and the patient became unresponsive. Chest compressions were administered, and the rhythm changed to ventricular tachycardia. There was spontaneous return of circulation without any further intervention. The patient eventually converted to sinus rhythm and was started on anticoagulation to prevent a thrombotic event. He was discharged the next day with apixaban and propafenone. Cureus 2020-11-24 /pmc/articles/PMC7769750/ /pubmed/33391915 http://dx.doi.org/10.7759/cureus.11678 Text en Copyright © 2020, Lee et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Lee, Woo Kyung
Shameem, Masra
Ganti, Latha
Banerjee, Paul R
Shivdat, John
Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response
title Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response
title_full Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response
title_fullStr Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response
title_full_unstemmed Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response
title_short Cardiac Arrest Following Treatment With Diltiazem for Atrial Fibrillation With Rapid Ventricular Response
title_sort cardiac arrest following treatment with diltiazem for atrial fibrillation with rapid ventricular response
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769750/
https://www.ncbi.nlm.nih.gov/pubmed/33391915
http://dx.doi.org/10.7759/cureus.11678
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