Almost similar to our case, a patient with atrial flutter and incomplete RBBB received ECV that got complicated with sudden myocardial stunning leading to inevitable death [11]. Our patient had a prior history of rheumatic fever as a child and refractory atrial fibrillation that was unresponsive ...
Imaging showed pulmonary congestion, EKG showed new onset atrial flutter with RVR, and 2D echo showed a new drop in EF to 15% with global hypokinesis. BNP was elevated (861 pg/ml). Other labs including serial troponins were unremarkable. Patient was started on diuresis, nitroglycerin in...