Serial electrical cardioversion for refractory
atrial fibrillation with rapid ventricular
response post ablation

Serial electrical cardioversion for refractory
atrial fibrillation with rapid ventricular
response post ablation

Atrial fibrillation, Catheter ablation, Recurrent atrial fibrillation, Electrical cardioversion, Serial electrical
cardioversion, Antiarrhythmic drugs, Rapid ventricular response

Abstract
The authors present the case of a man in his 50s who arrived at the ED with palpitations and persistent tachycardia
a month after undergoing catheter ablation (CA) for atrial fibrillation with rapid ventricular response, and a week
after electrical cardioversion in our ED. He was once again successfully cardioverted in our ED. The unique aspect of
this case is how refractory his case was.
This case highlights the limitations of current AF management strategies in achieving durable rhythm control,
particularly following ablation. It underscores the importance of timely follow-up, individualized treatment
planning, and consideration of additional interventions such as repeat ablation or atrioventricular nodal ablation
with pacemaker placement in refractory cases. Serial ECV can provide temporary relief but should be viewed
as a bridge to more definitive therapy. Serial Electrical Cardioversion for Refractory Atrial Fibrillation with Rapid
Ventricular Response Post Ablation.
Keywords Atrial fibrillation, Catheter ablation, Recurrent atrial fibrillation, Electrical cardioversion, Serial electrical
cardioversion, Antiarrhythmic drugs, Rapid ventricular response

Katherine Liu1,2, Nofel Iftikhar3

and Latha Ganti4*

https://doi.org/10.1186/s12245-025-01012-0

2025

Peri Irawan

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