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Ambulatory electrical cardioversion of atrial fibrillation.

Abstract：

:Elective electrical cardioversion of atrial fibrillation is an effective and safe cardiac procedure in selected patients. It is most often performed during a short hospital stay or in an outpatient setting of a hospital. In a retrospective analysis, we report our experience on electrical cardioversions in private practice without a hospital stand-by performed by a cardiologist and an anesthesiologist in concert. Sixty patients with a mean age of 66+/-8 years and a typical spectrum of cardiac diseases in stable condition were chosen for the ambulatory procedure. The immediate success rate of electrical cardioversion was 83%. Within the next 3 months, a relapse of atrial fibrillation occurred in 46%. Following 87 procedures in 60 patients, 3 complications requiring a hospital admission occurred. One of these three patients had suffered from a short syncope without other deficits potentially due to cerebral embolism. Apart from these complications, no patient suffered a thromboembolic complication or a cerebral problem following electrical cardioversion. We conclude that elective electrical cardioversion of atrial fibrillation can be performed safely, effectively and comfortable for patient and physician following a preceding evaluation and counseling by a cardiac specialist.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Franzen D,Brombach K,Möbius H

doi

10.1016/j.ijcard.2005.03.043

subject

Has Abstract

pub_date

2006-03-08 00:00:00

pages

303-6

issue

3

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(05)00590-5

journal_volume

107

pub_type

杂志文章

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