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 Cardioljournal_title
Clinical cardiologyauthors
Verdino RJ,Teuteberg JJ,Burke MC,Kopp DE,Johnson CT,Lin AC,Alberts M,Kall JG,Wilber DJdoi
10.1002/clc.4960240716subject
Has Abstractpub_date
2001-07-01 00:00:00pages
500-2issue
7eissn
0160-9289issn
1932-8737journal_volume
24pub_type
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abstract:BACKGROUND:The reproducibility of left ventricular (LV) mass measurement by two-dimensional (2-D) echocardiography is inadequate for individual assessments. HYPOTHESIS:This study was undertaken to evaluate the potential of LV mass determination with a new three-dimensional (3-D) echocardiographic method compared with ...
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doi:10.1002/clc.4960060406
更新日期:1983-04-01 00:00:00
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更新日期:2011-09-01 00:00:00
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pub_type: 临床试验,杂志文章,评审
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更新日期:2008-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/clc.4960160604
更新日期:1993-06-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960050306
更新日期:1982-03-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960070604
更新日期:1984-06-01 00:00:00
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doi:10.1002/clc.4960260506
更新日期:2003-05-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960120905
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pub_type: 杂志文章
doi:10.1002/clc.4960100705
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doi:10.1002/clc.4960180313
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更新日期:1994-09-01 00:00:00