Abstract
Pre-excited, fast conducting atrial fibrillation (AF) is a serious life-threatening
arrhythmia that requires urgent pharmacological or electrical cardioversion. When
anti-arrhythmic medications fail to restore sinus rhythm, biphasic, direct current
(DC) cardioversion is required. Appropriate synchronization of the DC shock with the
QRS is crucial, however not easily achieved. Since the QRS-T complexes in pre-excited
AF are severely distorted, the diagnosis of inaccurate synchronization may be overlooked.
Here, we report a unique case where during electrical cardioversion of pre-excited
AF with inappropriate synchronization on the T wave inadvertently resulted in ventricular
fibrillation (VF), and review the literature.
Keywords
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References
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Article Info
Publication History
Published online: May 16, 2019
Accepted:
May 15,
2019
Received in revised form:
May 10,
2019
Received:
March 9,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
