title: Cardiogenic shock following electro-cardioversion of new onset atrial flutter.
abstract: 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.
authors: Division of Cardiovascular Diseases, Department of Internal Medicine, University of Tennessee Health Science Center Memphis, 6283 Common Oaks Crt # 106, Memphis, TN 38120, USA.
authors: M Usman
authors: MU
authors: Khan
authors: Rami N
authors: RN
authors: Khouzam
authors: Heena
authors: H
authors: Khalid
authors: Riaz
authors: R
authors: Baqir
authors: Marriyam
authors: M
authors: Moten
mesh_terms: D000368:Aged; D001282:Atrial Flutter / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D017548:Echocardiography, Transesophageal; D004554:Electric Countershock / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008297:Male; D012770:Shock, Cardiogenic / Q000209:etiology*