Key result
A 70-year-old male patient with normal sinus rhythm developed atrial flutter immediately after general anesthesia induction, which spontaneously converted to atrial fibrillation and resolved after electric cardioversion.
Case Report (n=1)
No
This case highlights a rare occurrence of newly developed perioperative atrial flutter converting to atrial fibrillation immediately after general anesthesia induction, requiring electric cardioversion.
Rare post-induction atrial flutter converting to AF warrants ECG vigilance; leaves open anesthesia triggers for prospective study.
The most frequent perioperative cardiovascular event is cardiac dysrhythmia, defined as an abnormality of cardiac rate, rhythm or conduction. Although the occurrence of arrhythmia during the perioperative period is not uncommon, a case of newly developed perioperative atrial flutter which spontaneously converts to atrial fibrillation is rare. We report a case of atrial flutter that developed immediately after induction of general anesthesia, in a 70-year-old male patient who previously had a normal sinus rhythm. Atrial flutter changed spontaneously to atrial fibrillation after discharge to the recovery room. Dysrhythmia was unresponsive to drug therapy, and the atrial fibrillation disappeared after electric cardioversion.
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Song et al. (2017) conducted a case report in Atrial flutter and atrial fibrillation (n=1). General anesthesia induction and electric cardioversion was evaluated. A 70-year-old male patient with normal sinus rhythm developed atrial flutter immediately after general anesthesia induction, which spontaneously converted to atrial fibrillation and resolved after electric cardioversion.
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