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
- left atrial
- heart failure
- left atrial appendage
- oral anticoagulants
- computed tomography
- direct oral anticoagulants
- optical coherence tomography
- percutaneous coronary intervention
- radiofrequency ablation
- venous thromboembolism
- coronary artery disease
- high dose