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

R. J. Verdino, J. J. Teuteberg, M. C. Burke, D. E. Kopp, C. T. Johnson, A. C. Lin, M. Alberts, J. G. Kall, D. J. Wilber

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)500-502
Number of pages3
JournalClinical Cardiology
Volume24
Issue number7
DOIs
StatePublished - 2001

Keywords

  • Atrial fibrillation
  • External cardioversion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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