Electrical Cardioversion of Supraventricular Arryhthmia Patient with Septic Shock

Ayu Pramitha


Supraventricular arrythmia (SVA) is a very common cardiac rhythm problem experienced by patients in intensive care unit (ICU), which both pharmacological and non-pharmacological treatment could treat. Recently, electrical cardioversion has been proven in improving haemodynamic and functional status. We report a case of 59 years old female patient with VA and septic shock with unstable haemodynamic that was immediately improved after electrical cardioversion. The electrical cardioversion (preferably biphasic) is identified in the patient with an absence of oppositions and is more suitable in combination with antiarrhythmic agent.


Arryhthmia; Electrical cardioversion; Septic shock


Kuipers S, Klouwenberg KMCK, Cremer OL. 2014. Incidence, risk factors and outcomes of new-onset atrial fibrillation in patients with sepsis: A systematic review. Crit Care.

Balik M, Matousek V, Maly M, Brozek T. 2017. Management of arrhythmia in sepsis and septic shock. Anestezjol Intens Ter.

Walkey AJ, Quinn EK, Winter MR, et al. 2016. Practice patterns and outcomes associated with use of anticoagulation among patients with atrial fibrillation during sepsis. JAMA Cardiol.

Go AS, Hylek EM, Phillips KA, Chang Y, et al. 2003. Prevalence of Diagnosed Atrial Fibrillation in Adults. JAMA.

Schwartz A, Brotfain E, Koyfman L, Klein M. 2015. Cardiac Arrhythmias in a Septic ICU Population: A Review. J Crit Care Med.

Balik M, Kolnikova I, Maly M, Waldauf P, et al. 2017. Propafenone for supraventricular arrhythmias in septic shock—Comparison to amiodarone and metoprolol. J Crit Care.

Sato R, Nasu M. 2015. A review of sepsis-induced cardiomyopathy. Journal of Intensive Care.

Brown A O, Millett E R C, Quint J K, Orihuela C J. 2015. Cardiotoxicity during invasive pneumococcal disease. American Journal of Respiratory and Critical Care Medicine.

Monnerat-Cahli G, Alonso H, Gallego M, et al. 2014. Toll-like receptor 4 activation promotes cardiac arrhythmias by decreasing the transient outward potassium current (Ito) through an IRF3-dependent and MyD88-independent pathway. J Mol Cell Cardiol.

Hamzaoui O, Georger JF, Monnet X, Ksouri H, et al. 2010. Early administration of norepinephrine increases cardiac preload and cardiac output in septic patients with life-threatening hypotension. Crit Care.

Kipnis E, Vallet B. 2010. Early norepinephrine resuscitation of life-threatening hypotensive septic shock: it can do the job, but at what cost?. Crit Care.

Reardon DP, DeGrado JR, Anger KE, Szumita PM. 2014. Early vasopressin reduces incidence of new onset arrhythmias. J Crit Care.

Gillinov AM, Bagiella E, Moskowitz AJ, et al. 2016. Rate Control versus Rhythm Control for Atrial Fibrillation after Cardiac Surgery. N Engl J Med.

Full Text: PDF

DOI: 10.20473/ccj.v1i1.2020.13-16


  • There are currently no refbacks.

Copyright (c) 2020 Cardiovascular and Cardiometabolic Journal