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Intensive Care Medicine

, Volume 23, Issue 2, pp 196–197 | Cite as

Cerebral thromboembolism after direct current cardioversion for pure atrial flutter

  • L. Liaudet
  • R. Kehtari
  • J.-F. Enrico
BRIEF REPORT

Abstract

The need for prophylactic anticoagulation before electrical cardioversion for atrial arrhythmias is clearly established in the case of atrial fibrillation. By contrast, such prophylaxis is not a current standard of care before cardioversion for pure atrial flutter, since this arrythmia seems not to increase the risk of postcardioversion embolism. We present a patient who developed two cerebral embolisms 24 h after electrical cardioversion for pure atrial flutter. To our knowledge, this observation has not been previously reported.

Key words Atrial flutter Electrical cardioversion Thromboembolism Anticoagulation 

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • L. Liaudet
    • 1
  • R. Kehtari
    • 1
  • J.-F. Enrico
    • 1
  1. 1.Intensive Care Unit, Department of Internal Medicine, Ho^pital des Cadolles, CH-2000 Neuchatel, Switzerland Fax: +41(32) 722 9659CH

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