Refractory Hypotension after Cardioversion in a Patient with Atrial Fibrillation and Congestive Heart Failure

Ikuo Misumi, Tsuyoshi Honda, Hiroki Usuku, Akihiko Togashi, Takuya Kiyama, Ryusuke Tsunoda, Hiroyuki Obayashi, Hisayo Yasuda, Koichi Kaikita, Seiji Hokimoto, Hisao Ogawa
2016 Internal medicine (Tokyo. 1992)  
A 63-year-old woman with atrial fibrillation visited our hospital due to decompensated heart failure. Because atrial fibrillation was considered a remarkable precipitating factor for heart failure, cardioversion was performed. After cardioversion, refractory hypotension and cardiopulmonary arrest occurred. An arterial blood gas analysis showed marked lactic acidosis. Chronic kidney disease, heart failure, sedatives, and hypoventilation might have contributed to refractory hypotension due to
more » ... otension due to severe acidosis in this case.
doi:10.2169/internalmedicine.55.6396 pmid:27374676 fatcat:vw4wisyghva5fn5oq72dwbkxnm