Inflammation, high sympathetic tone, electrolyte changes and chronic kidney disease (CKD) are among risk factors of postoperative atrial fibrillation (AF). (1) Studies show that elevated C-reactive protein levels may predict recurrent atrial arrhythmias (2) We present a case of 70-year-old female with paroxysmal atrial fibrillation who developed systemic inflammatory response syndrome, and underwent unsuccessful electrical cardioversion of AF after pacemaker implantation.
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