Successful external cardioversion of atrial fibrillation in patients referred to an electrophysiologist for internal cardioversion.

Abstract:

BACKGROUND:Internal cardioversion of atrial fibrillation with direct current energy has become an increasingly employed technique for patients who fail external cardioversion. HYPOTHESIS:The purpose of this study was to determine whether internal cardioversion could be avoided by careful attention to cardioversion technique in a group of patients referred specifically for internal cardioversion after failed external cardioversion by community cardiologists. METHODS:We performed external cardioversion utilizing two operators applying significant pressure to the thorax with up to 360 J prior to the planned internal cardioversion in 20 patients referred for internal cardioversion after failed attempts at external cardioversion. RESULTS:Sixteen patients (80%) were successfully cardioverted and avoided the risk, inconvenience, and cost of internal cardioversion. CONCLUSION:External cardioversion with significant anterior paddle pressure by two operators can decrease the need for internal cardioversion in a significant portion of patients referred to electrophysiologists for internal cardioversion and should be considered prior to an invasive procedure.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Verdino RJ,Teuteberg JJ,Burke MC,Kopp DE,Johnson CT,Lin AC,Alberts M,Kall JG,Wilber DJ

doi

10.1002/clc.4960240716

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

500-2

issue

7

eissn

0160-9289

issn

1932-8737

journal_volume

24

pub_type

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