title: Electroversion in treatment of arrhythmia in a patient with Wolff-Parkinson-White syndrome and cervical spinal cord injury.
abstract: We report electroversion in treatment of atrial fibrillation (AF) and atrioventricular nodal reentry tachycardia (AVNRT) in a patient with Wolff-Parkinson-White syndrome and cervical spinal cord injury. At first, the patient sustained respiratory failure and weak cough reflex, thereafter repeated bronchoscopy was used to aspirate the sputum as well as control the pneumonia, which resulted in arrhythmia (AF and AVNRT). Two doses of intravenous amiodarone failed to correct the arrhythmia. After restoration of sinus rhythm by electroversion, he was successfully weaned from mechanical ventilation and discharged from the intensive care unit without recurrent arrhythmia.
authors.affiliation: Department of Emergency Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, China.
authors.forename: Peng
authors.initials: P
authors.lastname: Shen
authors.forename: Ru-Bin
authors.initials: RB
authors.lastname: Luo
authors.forename: Si-Yu
authors.initials: SY
authors.lastname: Cai
authors.forename: Mao
authors.initials: M
authors.lastname: Zhang
mesh_terms: D001281:Atrial Fibrillation / Q000150:complications* / Q000628:therapy*; D001999:Bronchoscopy; D002574:Cervical Vertebrae / Q000293:injuries; D004554:Electric Countershock; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D013119:Spinal Cord Injuries / Q000150:complications*; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications*