Coarse fibrillatory waves in atrial fibrillation predict success of electrical cardioversion

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Electrical and pharmacologic cardioversion for atrial fibrillation.

This article describes electrical and pharmacologic cardioversion for atrial fibrillation and discusses indications for cardioversion and management of pericardioversion anticoagulation. Finally, management strategies are offered for immediate recurrence of atrial fibrillation and cardioversion failure.

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Ventricular fibrillation during electrical cardioversion of pre-excited atrial fibrillation.

The Wolff-Parkinson-White syndrome can rarely present with pre-excited atrial fibrillation. In this condition the short refractory period of the accessory pathway can lead to rapid atrioventricular conduction. There is then a danger that at high heart rates the irregular broad complex tachycardia that results can deteriorate into ventricular fibrillation. The initial management of patients pres...

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Short-term and long-term success of electrical cardioversion in atrial fibrillation in managed care system

BACKGROUND Initial success of electrical cardioversion (ECV) of atrial fibrillation (AF) has been reported in several studies as 50%-90%, of which only 50% patients remain in sinus rhythm (SR) at the end of one year. We conducted this study to see if outcomes of other trials are applicable in managed care setting. METHODS We conducted a retrospective study in 370 consecutive patients who unde...

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Disappointing success of electrical cardioversion for new-onset atrial fibrillation in cardiosurgical ICU patients

OBJECTIVES To assess the success of electrical cardioversion for the treatment of new-onset atrial fibrillation in critically ill patients and to evaluate the stability of sinus rhythm in responders during the subsequent 24 hours. DESIGN Retrospective study. SETTING Twelve-bed cardiosurgical ICU at a university hospital. PATIENTS Seventy-two consecutive patients with postoperative new-ons...

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Giant P waves after pharmacological cardioversion of atrial fibrillation.

Propafenone, a class IC antidysrhythmic drug, is frequently used for pharmacological cardioversion of atrial fibrillation. Using IC antidysrhythmics to reverse recurrent atrial fibrillation is associated with a 3.5–20% incidence of atrial flutter with either ‘‘classical’’ or atypical patterns of atrial activation [1–3]. On the contrary, the appearance of peaked alternating with normal P waves i...

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ژورنال

عنوان ژورنال: Annals of Noninvasive Electrocardiology

سال: 2017

ISSN: 1082-720X

DOI: 10.1111/anec.12528