Reversible Myoglobinuric Renal Failure Following Rhabdomyolysis as a Rare Complication of Cardioversion

Abstract

Reversible myoglobinuric renal failure following rhabdomyolysis that was related to repeated countershocks delivered for the treatment of refractory recurrent VT and VF attacks during acute myocardial infarction is presented in this case report, in which scan with technetium-99m pyrophosphate has been used for in the diagnosis of extensive skeletal muscle damage.

Renal Dysfunction following Direct Current Cardioversion of Atrial Fibrillation: Incidence and Risk Factors

“…Electrical cardioversion is known to result in skeletal and myocardial muscle damage, as evidenced by an increase in blood creatinine kinase levels and is related to the cumulative energy delivered [27]. Rhabdomyolysis is a known cause of renal failure [28]. We did not find a significant difference in the incidence of AKI based on the cumulative energy used, suggesting that muscle damage may not be clinically significant to result in AKI.…”

Is Significance of Atrial Fibrillation in Acute Aortic Dissection Underestimated?

“…It may also be considered in an individual patient with hemodynamic compromise due to acute AD. Indeed, there are not enough (if any) reliable data on the safety of cardioversion in the setting of AD, or the potential harm (17)(18)(19). Therefore, we think that cardioversion cannot be recommended at this point in time for routine AF management in acute AD.…”

Risk of Kidney Injury following Cardioversion for Atrial Fibrillation

“…aspiration or respiratory arrest), sinus bradycardia, hypotension and, rarely, pulmonary edema [10,11,12,13]. There are also reports of acute rabdomyolysis and acute renal failure after cardioversion in seriously ill patients including those with cardiopulmonary arrest [14,15,16]. …”