Key result
Direct current cardioversion can rarely trigger acute Takotsubo cardiomyopathy presenting as pulmonary edema.
Why the study?
Does direct current cardioversion for atrial flutter induce Takotsubo cardiomyopathy?
Case Report (n=1)
Does direct current cardioversion for atrial flutter induce Takotsubo cardiomyopathy?
Direct current cardioversion can be a rare but severe trigger for Takotsubo cardiomyopathy, highlighting the potential need for extended post-procedural monitoring.
May warrant post-DCCV vigilance for Takotsubo; leaves open incidence and risk-factor studies.
Key Teaching Points•Takotsubo cardiomyopathy is a rare but possible complication of direct current cardioversion.•Patients often suffer severe sequalae, mostly in the form of acute pulmonary edema or cardiogenic shock.•The condition is usually quickly reversible but requires adequate supportive care with vasopressors and/or mechanical ventilation if needed. •Takotsubo cardiomyopathy is a rare but possible complication of direct current cardioversion.•Patients often suffer severe sequalae, mostly in the form of acute pulmonary edema or cardiogenic shock.•The condition is usually quickly reversible but requires adequate supportive care with vasopressors and/or mechanical ventilation if needed.
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Zaghlol et al. (2019) conducted a case report in Atrial flutter and Takotsubo cardiomyopathy (n=1). Direct current cardioversion was evaluated on Development of Takotsubo cardiomyopathy. Direct current cardioversion rarely triggers Takotsubo cardiomyopathy presenting as acute pulmonary edema or cardiogenic shock, requiring supportive care for rapid resolution.
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