New-Onset Atrial Fibrillation Detected by Continuous Capnography Monitoring: A Case Report

Toby N. Weingarten; Hiroshi Morimatsu; Juan Fiorda-Diaz; Sergio D. Bergese; Makiko Ariyoshi; Juraj Sprung; Albert Dahan; Frank J. Overdyk

doi:10.12659/AJCR.925510

Journal article

New-Onset Atrial Fibrillation Detected by Continuous Capnography Monitoring: A Case Report

Toby N. Weingarten, Hiroshi Morimatsu, Juan Fiorda-Diaz, Sergio D. Bergese, Makiko Ariyoshi, Juraj Sprung, Albert Dahan and Frank J. Overdyk

The American journal of case reports, Vol.21, pp.1-6

09/19/2020

DOI: 10.12659/AJCR.925510

PMCID: PMC7521464

PMID: 32948738

View Online

Abstract

Case series Patients: Male, 75-year-old Male, 72-year-old Final Diagnosis: Atrial fibrillation Symptoms: Apnea atrial fibrillation Medication: - Clinical Procedure: - Specialty: Anesthesiology Objective: Unusual clinical course Background: Asymptomatic postoperative atrial fibrillation (AF) may go undetected. As part of a multicenter observational trial designed to develop a risk prediction score for respiratory depression, the respiratory patterns of patients admitted to standard wards were continuously assessed with capnography and pulse oximetry. The monitor measured end-tidal carbon dioxide, respiratory rate, heart rate (HR), and oxyhemoglobin saturation. Case Reports: Two men ages 75 and 72 experienced abrupt and variable postoperative changes in HR consistent with AF with rapid ventricular response, coinciding with an abnormal breathing pattern with apneic episodes. In both cases, the changes were not detected by routine clinical monitoring. Conclusions: Continuous capnography identified respiratory distress in 2 patients who experienced symptoms of AF. Continuous monitoring devices can help health care providers minimize the risk of morbidity and mortality for patients at risk of respiratory depression.

General & Internal Medicine

Life Sciences & Biomedicine

Medicine, General & Internal

Science & Technology

Details

Title: Subtitle: New-Onset Atrial Fibrillation Detected by Continuous Capnography Monitoring: A Case Report
Creators: Toby N. Weingarten - Mayo Clinic in Florida
Hiroshi Morimatsu - Okayama University
Juan Fiorda-Diaz - The Ohio State University
Sergio D. Bergese - The Ohio State University Wexner Medical Center
Makiko Ariyoshi - Okayama University
Juraj Sprung - Mayo Clinic in Florida
Albert Dahan - Leiden University Medical Center
Frank J. Overdyk - Trident Hlth Syst, Dept Anesthesiol, Charleston, SC USA
Resource Type: Journal article
Publication Details: The American journal of case reports, Vol.21, pp.1-6
DOI: 10.12659/AJCR.925510
PMID: 32948738
PMCID: PMC7521464
NLM abbreviation: Am J Case Rep
ISSN: 1941-5923
eISSN: 1941-5923
Publisher: Int Scientific Information, Inc
Number of pages: 6
Grant note: Medtronic
Language: English
Date published: 09/19/2020
Academic Unit: Anesthesia
Record Identifier: 9984656541402771

Metrics

7 Record Views

1 Times Cited - Web of Science