J Korean Soc Emerg Med.  2013 Aug;24(4):464-468.

Restoration of Sinus Rhythm by Defibrillation After Sudden Cardiac Arrest in a Patient with Chronic Atrial Fibrillation

Affiliations
  • 1Department of Internal medicine, GwangMyung Sung Ae General Hospital, Gyeonggi-do, Republic of Korea. drlsc@naver.com
  • 2Department of Internal medicine, Sung Ae General Hospital, Seoul, Republic of Korea.

Abstract

Atrial fibrillation (AF) is a relatively common cardiac arrhythmia that can have adverse consequences due to a reduction in cardiac output and thrombus formation. For patients hemodynamically unstable due to AF, we recommend urgent direct current (DC) cardioversion. The importance of an automated external defibrillator (AED) in the emergency medical field for this purpose is very high. In addition, the distribution rate of an AED in public health care is on the rise. We herein describe a patient whose chronic AF was converted to a sinus rhythm by defibrillation during an episode of sudden cardiac arrest (SCA) which consequently improved left ventricular systolic function. We have experienced the importance of active use of AED.

Keyword

Defibrillator; Atrial fibrillation; Heart arrest

MeSH Terms

Arrhythmias, Cardiac
Atrial Fibrillation
Cardiac Output
Death, Sudden, Cardiac
Defibrillators
Electric Countershock
Emergencies
Heart Arrest
Humans
Public Health
Thrombosis
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