A Cardioversion and Renal Dysfunction Cascade: Cardioversion for Atrial Fibrillation, Acute Kidney Injury, and Recurrence of Atrial Fibrillation

A 62-year-old woman with hypertension presented with progressively worsening shortness of breath due to acute decompensated heart failure with atrial fibrillation in rapid ventricular response. During admission, she was managed with diuretics, goal-directed medical therapy for heart failure with suc...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-04, Vol.12 (4), p.e7672
Main Authors: Asemota, Iriagbonse R, Igwilo, Rita, Nwaichi, Chineme, Mbachi, Chimezie, Paintsil, Isaac
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Cardiology
Cardioversion
Case reports
Creatinine
Diabetes
Dyspnea
Edema
Ejection fraction
Heart failure
Heart rate
Hypotension
Internal Medicine
Laboratories
Nephrology
Patients
Pulmonary arteries
Risk factors
Sinuses
Ultrasonic imaging
Urine
Vital signs
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Summary:A 62-year-old woman with hypertension presented with progressively worsening shortness of breath due to acute decompensated heart failure with atrial fibrillation in rapid ventricular response. During admission, she was managed with diuretics, goal-directed medical therapy for heart failure with successful DCCV (Direct current cardioversion) for first episode atrial fibrillation. However, one day after discharge, the patient presented with a recurrence of dyspnea with atrial fibrillation in rapid ventricular response and a reduction in urine output with elevated serum creatinine. In this case report, we describe the syndrome of acute kidney injury following cardioversion for atrial fibrillation known as AFCARD (Atrial Fibrillation Cardioversion Associated with Renal Dysfunction), highlight its incidence and reflect on renal dysfunction subserving the recurrence of atrial fibrillation after successful DCCV.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.7672