Atrial Fibrillation in a Patient with Left Ventricular Hypertrophy after Induction of General Anesthesia: A case report.
10.4097/kjae.2006.51.3.387
- Author:
Eun Jung CHO
1
;
Kyung Suk LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Our Ladys of Mercy Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea. gkjw2000@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
atrial fibrillation;
electrical cardioversion;
left ventricular hypertrophy
- MeSH:
Anesthesia, General*;
Arrhythmias, Cardiac;
Atrial Fibrillation*;
Echocardiography;
Electric Countershock;
Heart Diseases;
Hemodynamics;
Humans;
Hypertension;
Hypertrophy, Left Ventricular*;
Risk Factors
- From:Korean Journal of Anesthesiology
2006;51(3):387-390
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Atrial fibrillation is the common sustained cardiac arrhythmia. Risk factors for atrial fibrillation include hypertension, diabetes, valvular and other types of structural heart disease. Echocardiographic variables including left atrial enlargement, increased left ventricular wall thickness, and reduced left ventricular fractional shortening are predictive of risk for atrial fibrillation. We experienced a case of newly developed hemodynamically unstable atrial fibrillation after induction of general anesthesia. The patient had hypertension, diabetes, increased left ventricular wall thickness, and reduced left ventricular fractional shortening. Atrial fibrillation was treated with electrical cardioversion. Atrial fibrillation disappeared and hemodynamic parameters became stable.
