Paddle position in emergency cardioversion of atrial fibrillation

External cardioversion of atrial fibrillation: role of paddle position on technical efficacy and energy requirements.

AIM To define the effect of defibrillator paddle position on technical success and dc shock energy requirements of external cardioversion of atrial fibrillation. METHODS 301 patients (mean (SD) age 62 (11) years) with stable atrial fibrillation were randomly assigned to elective external cardioversion using anterolateral paddle position (ventricular apex-right infraclavicular area; group AL (...

Biphasic cardioversion of acute atrial fibrillation in the emergency department.

INTRODUCTION There is a trend towards accelerated management of acute atrial fibrillation (AF) in the emergency department (ED). We report our experience with biphasic cardioversion of acute AF. METHODS This was a prospective, descriptive study at a tertiary hospital ED over a 6 month period. Acute AF was defined as symptoms that had been present for <48 hours. Patients who received biphasic ...

Internal atrial cardioversion in atrial fibrillation.

Medical cardioversion of atrial fibrillation.

I n managing patients with atrial fibrillation (AF), the clinician is confronted with a series of complex tasks and decisions that directly influence the choice of therapy. These include identifying and treating the underlying causes and precipitating factors; achieving ventricular rate control; determining eligibility and choosing optimal timing and methodology for cardioversion (including app...

Atrial fibrillation cardioversion following acupuncture

Atrial fibrillation (AF) is the most common arrhythmia and it is an independent risk for serious events. Acupuncture has been growing in popularity in the West, and there are reports of its benefits in treating AF. We report a 57-year-old man who was admitted after having an allergic reaction to amiodarone administered to treat paroxysmal AF with fast ventricular response. Cardioversion with in...