Rhabdomyolysis complicating percutaneous radiofrequency ablation of persistent atrial fibrillation Antonia Maria Diane Churchhouse, BMedSci(Hons), MbChB,

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Presentation transcript:

Rhabdomyolysis complicating percutaneous radiofrequency ablation of persistent atrial fibrillation Antonia Maria Diane Churchhouse, BMedSci(Hons), MbChB, MRCP, John Whitaker, MB, BCh, MRCP, Madhvi Vaghela, BSc, MBBS, FRCA, C. Aldo Rinaldi, FHRS HeartRhythm Case Reports Volume 1, Issue 4, Pages 169-171 (July 2015) DOI: 10.1016/j.hrcr.2015.01.013 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 A: Left anterior oblique view of electroanatomic mapping system–generated shell of anatomy of the left atrium (Carto 3, Biosense Webster, Inc, Diamond Bar, CA) through mitral valve. Radiofrequency energy delivered on epi- and endocardial surface of the mitral isthmus (arrow 1), the left atrial roof, and cavotricuspid isthmus (arrow 2). B: Electrocardiogram (ECG) recorded before the ablation procedure, showing atrial fibrillation (AF). C: ECG recorded after the procedure, showing sinus rhythm. D: Temporal changes in serum creatinine kinase and serum creatinine with respect to ablation under general anesthesia. D: Temporal progress of creatinine kinase (in U/L) with reference to procedure at hour 0. E: Temporal progress of serum creatinine (in μmol/L) with reference to procedure at hour 0. F: Temporal progress of serum calcium (in mmol/L) with reference to procedure at hour 0. G: Temporal progress of serum alanine aminotransferase (in U/L) with reference to procedure at hour 0. HeartRhythm Case Reports 2015 1, 169-171DOI: (10.1016/j.hrcr.2015.01.013) Copyright © 2015 Heart Rhythm Society Terms and Conditions