Key result
Direct current cardioversion for atrial fibrillation in a 62-year-old woman was followed by acute kidney injury with a doubling of serum creatinine and subsequent recurrence of atrial fibrillation.
Why the study?
To describe the syndrome of acute kidney injury following cardioversion for atrial fibrillation (AFCARD) and examine renal dysfunction subserving AF recurrence after successful DCCV.
Does direct current cardioversion cause acute kidney injury and subsequent recurrence of atrial fibrillation in patients with heart failure?
Case Report (n=1)
Does direct current cardioversion cause acute kidney injury and subsequent recurrence of atrial fibrillation in patients with heart failure?
Direct current cardioversion for atrial fibrillation can be complicated by acute kidney injury (AFCARD), which may subsequently trigger the recurrence of atrial fibrillation.
Answers are grounded in this paper and cite their sources.
Raises possibility of cardioversion-related kidney injury; leaves open its prevalence, causality, and need for prospective study.
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.
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Asemota et al. (2020) conducted a case report in Atrial fibrillation and acute kidney injury (n=1). Direct current cardioversion (DCCV) was evaluated on Development of acute kidney injury (AFCARD) and recurrence of atrial fibrillation. Direct current cardioversion for atrial fibrillation in a 62-year-old woman was followed by acute kidney injury with a doubling of serum creatinine and subsequent recurrence of atrial fibrillation.
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