TITLE:
Preoperative Atrial Fibrillation and T-Wave Inversion Associated with Postoperative Pulmonary Edema
AUTHORS:
Thomas Hong, Benson George, Mohamad Hashim, Dennis E. Feierman
KEYWORDS:
Pulmonary Edema, Atrial Fibrillation, T Wave Inversion
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.6 No.10,
October
25,
2016
ABSTRACT: Background: Atrial fibrillation (AF) and T wave inversion (TWI) are occasionally found on pre-operative electrocardiograms (EKG) of patients with long standing hy-pertension (HTN) associated with left ventricular hypertrophy (LVH). Each of these two pathologies, AF and LVH, can impose negative hemodynamic effects on the car-diac function. Case: We present a case of a patient with AF, TWI and long standing HTN that went into post-operative pulmonary edema. Conclusion: Even returning to base line poorly controlled hypertension, and even more so during a hypertensive cri-sis, their concurrent presence may inflict even more detrimental effect manifested by elevation of pulmonary venous pressure and pulmonary edema.