When pacing a heart is no longer "Just Another Option"

The systemic arterial blood pressure (SBP) was low with rising blood lactates, metabolic acidosis, and acute oliguria necessitating multiple vasopressors (dopamine, noradrenaline, vasopressin, and adrenaline) to maintain perfusion. Echocardiography (ECHO) revealed mildly depressed ejection of the le...

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2018-07, Vol.21 (3), p.345-345
Main Authors: Pratap, Himanshu, Vashisht, Neetu, Awasthy, Neeraj, Dagar, Kulbhushan
Format: Article
Language:English
Subjects:
Blood pressure
Cardiac arrhythmia
Electrocardiography
Heart rate
Letter to Editor
Pulmonary arteries
Citations: Items that this one cites
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Summary:The systemic arterial blood pressure (SBP) was low with rising blood lactates, metabolic acidosis, and acute oliguria necessitating multiple vasopressors (dopamine, noradrenaline, vasopressin, and adrenaline) to maintain perfusion. Echocardiography (ECHO) revealed mildly depressed ejection of the left ventricle, flow acceleration across the band (gradient around 40 mmHg), and dilated atria with no evidence of “atrial kick” on recordings of the mitral valve waveforms indicating the absence of atrial activity. [2] Drugs (digitalis and quinidine), hyperkalemia, acute myocardial infarction, familial inheritance, and open-heart surgery are well-known factors associated with atrial standstill.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.ACA_240_17