Atropine sulfate may be effective to recover the unstable hemodynamics in coronary artery spasms related to atrial fibrillation ablation procedures.
Shunsuke KawaiArihide OkaharaMasaki TokutomeHirohide MatsuuraYasushi MukaiPublished in: Journal of arrhythmia (2024)
Coronary artery spasms related to atrial fibrillation ablation procedures could cause lethal ventricular fibrillation or cardiopulmonary arrest. It may be useful to try intravenous atropine sulfate while preparing urgent coronary artery angiography in hemodynamically unstable coronary artery spasms cases to prevent development of the lethal arrhythmias.
Keyphrases
- coronary artery
- catheter ablation
- atrial fibrillation
- pulmonary artery
- heart failure
- left atrial
- left atrial appendage
- oral anticoagulants
- computed tomography
- optical coherence tomography
- direct oral anticoagulants
- high dose
- left ventricular
- percutaneous coronary intervention
- radiofrequency ablation
- pulmonary hypertension
- coronary artery disease
- pulmonary arterial hypertension
- drug induced