A Case Report of an Ischemic Stroke after Electrical Shock of Atrial Fibrillation Under Apixaban

ischemic stroke ; electrical shock ; atrial fibrillation ; apixaban

Authors

  • Maryam NADIF Intensive Care Unit of the Cardiology Center, Military Training Hospital Mohamed V, Rabat, Morocco
  • Meryem BENNANI Rhythmology Service, Cardiology center, Military Teaching Hospital Mohamed V, Rabat, Morocco https://orcid.org/0000-0002-2117-315X
  • Soumia FAID Intensive Care Unit of the Cardiology Center, Military Training Hospital Mohamed V, Rabat, Morocco
  • Dania SRIFI Intensive Care Unit of the Cardiology Center, Military Training Hospital Mohamed V, Rabat, Morocco
  • Kawtar Manouri Intensive Care Unit of the Cardiology Center, Military Training Hospital Mohamed V, Rabat, Morocco
  • Sara Ahchouch Intensive Care Unit of the Cardiology Center, Military Training Hospital Mohamed V, Rabat, Morocco
  • Jamal Kheyi Rhythmology Service, Cardiology center, Military Teaching Hospital Mohamed V, Rabat, Morocco
  • Hicham Bouzelmat Rhythmology Service, Cardiology center, Military Teaching Hospital Mohamed V, Rabat, Morocco
  • Zouhair Lakhal Intensive Care Unit of the Cardiology Center, Military Training Hospital Mohamed V, Rabat, Morocco
  • Ali Chaib Rhythmology Service, Cardiology center, Military Teaching Hospital Mohamed V, Rabat, Morocco
November 22, 2018

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This article discusses the case of a patient with ischemic stroke following a cardioversion of Atrial Fibrillation under treatment with Apixaban 5 mg twice daily.

Adherence to anticoagulant therapy and normal trans-thoracic ultrasound do not eliminate the possibility of an atrial thrombus, which may contraindicate or delay the cardioversion procedure. The use of transesophageal echocardiography in this case is discussed, to avoid the occurrence of thromboembolic events.

This study indicates the need for further studies whether for flutter ablations or cardioversions under oral anticoagulants.

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