![]() 2 Transient hypotension is another benign complication that can resolve with intravenous fluid administration. Skin irritation, pain, and burn are the most common morbidities, with moderate-to-severe pain occurring in up to 23%. Electrical cardioversion (ECV) is the fastest way to establish sinus rhythm compared to antiarrhythmic medications and ablation. 1 Rhythm control is an essential strategy in symptomatic patients. The majority of patients recover within 2 weeks with supportive care.Ītrial fibrillation (AF) is the most common arrhythmia worldwide, with prevalence increasing with age. ![]() Female patients have a 50-fold increased risk, but DM is associated with a 3-fold risk reduction. Cardioversion-associated takotsubo cardiomyopathy is a rare complication in patients with atrial fibrillation who underwent electrical cardioversion. The recovery time is less than 1 week in milder cases but can take up to 2 weeks in severe cases. ![]() Acute heart failure due to apical type takotsubo cardiomyopathy is the most common presentation within 48 hours. The systematic review included 13 patients (mean age of 74.8 ± 9.6 years and 77% were female). Female sex is an independent predictor of electrical cardioversion-associated takotsubo cardiomyopathy, while diabetes mellitus is associated with less risk of electrical cardioversion-associated takotsubo cardiomyopathy. Among 154 919 patients admitted with atrial fibrillation who underwent electrical cardioversion in National Readmission Database 2018, 0.027% were readmitted with takotsubo cardiomyopathy (mean age of 71.0 ± 3.5 years and 96.7% were female). Baseline characteristics and clinical presentation were displayed. A systematic review was performed by searching PubMed and Embase for patients with atrial fibrillation who underwent electrical cardioversion and developed takotsubo cardiomyopathy from inception to February 2022. We identified all patients with the index diagnosis of atrial fibrillation who underwent electrical cardioversion and were readmitted within 30 days with a primary diagnosis of takotsubo cardiomyopathy by International Classification of Diseases, Tenth Revision, Clinical Modification codes to find the incidence and risk factors of the disease. We aimed to determine the incidence of cardioversion-associated takotsubo cardiomyopathy using a National Readmission Database 2018 and a systematic review. (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.The incidence of cardioversion-associated takotsubo cardiomyopathy in patients with atrial fibrillation undergoing electrical cardioversion is unknown.(e) cases in which a more precise diagnosis was not available for any other reason.(d) cases referred elsewhere for investigation or treatment before the diagnosis was made.(c) provisional diagnosis in a patient who failed to return for further investigation or care.(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined.(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated.The conditions and signs or symptoms included in categories R00- R94 consist of:.8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification.This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
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