Anesthetic Management of Rapid Ventricular Response Atrial Fibrillation in an Elderly Woman Using Remifentanil; A Case Report

authors:

avatar Fatemeh Roodneshin 1 , * , avatar Fereshte Kimia , avatar Mahtab Poor Zamany Nejat Kermany 2

Associate Professor of Anesthesiology, Anesthesiology Department, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
drpoorzamany@yahoo.com

how to cite: Roodneshin F, Kimia F, Poor Zamany Nejat Kermany M. Anesthetic Management of Rapid Ventricular Response Atrial Fibrillation in an Elderly Woman Using Remifentanil; A Case Report. J Cell Mol Anesth. 2021;6(4):e149733. https://doi.org/10.22037/jcma.v6i4.33514.

Abstract

Atrial fibrillation (AF) is the most common cardiac Arrhythmia in all clinical settings. In the setting of atrial fibrillation with rapid ventricular response (AFib with RVR), early rate control (with or without restoration of the sinus rhythm) is the center of management. Several drugs are used for the management of rapid ventricular response AF but the optimal one is unknown yet. In this case report we present an elderly woman undergoing urgent ophthalmic surgery whose rapid ventricular response AF was controlled by Remifentanil.