| Acute Pulmonary Hemorrhage After Cardioversion by Direct Current Shock for Paroxysmal Atrial Fibrillation. |
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1Department of Internal Medicine, Hanyang University College of Medicine, Seoul; 2Department of Life Science, Postech Biotech Center, Pohang University of Science and Technology, Pohang, Korea |
| Acute Pulmonary Hemorrhage After Cardioversion by Direct Current Shock for Paroxysmal Atrial Fibrillation. |
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최종일&#;홍순준&#;김진석&#;신성희&#;박희남&#;임도선&#;심완주&#;김영훈 |
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| Abstract |
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Electrical cardioversion used in the various cardiac arrhythmias is a highly effective and simple procedure with infrequent
complications. Acute pulmonary hemorrhage after direct current cardioversion has not been reported so far. We report a case
of a 33-year-old woman who experienced pulmonary hemorrhage following cardioversion of atrial fibrillation. The patient
underwent effective programmed electrical cardioversion with 70 J. Twelve hours later she presented dyspnea and hemoptysis,
and arterial blood gas analysis showed hypoxia. Chest CT revealed multiple nonsegmental ground glass opacities on both lung
fields compatible with pulmonary hemorrhage. She received management with ventilator in intensive care unit, and two days
later weaning of ventilator was performed. The findings of pulmonary hemorrhage disappeared on follow-up CT. |
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