Document Detail


Contemporary approach to electrical and pharmacological cardioversion of atrial fibrillation.
MedLine Citation:
PMID:  23322136     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In patients with atrial fibrillation (AF), a rhythm-control strategy may be adopted when there are unacceptable symptoms from AF, failure of rate control, and/or the presence of comorbidities, such as heart failure, that may improve with restoration of sinus rhythm. When a rhythm-control strategy is chosen and the patient is in persistent AF, cardioversion will be necessary to convert the rhythm to sinus. Patients with AF present for > 48 hours must be effectively anticoagulated both prior to and after cardioversion. With newer oral anticoagulants, achieving effective anticoagulation is faster and more reliable, with no requirement for blood test monitoring. Cardioversion can be accomplished either electrically or pharmacologically, and in some cases, electrical cardioversion may be facilitated pharmacologically. Electrical cardioversion has a higher success rate compared with pharmacological cardioversion in the short-term. Pharmacological cardioversion is usually accomplished with intravenous ibutilide, oral flecainide or propafenone, or intravenous amiodarone. Oral amiodarone and dofetilide also result in chemical cardioversion in some patients over a longer period of time. Long-term success in the maintenance of sinus rhythm post-cardioversion can be increased with the use of antiarrhythmic drugs. Alternatively, when AF is recurrent and symptomatic despite the use of antiarrhythmic drugs, catheter ablation is a reasonable option for many patients. Cardioversion may be incorporated into the management approach of persistent AF when the primary therapeutic option chosen is catheter ablation.
Authors:
Bharath Rajagopalan; Anne B Curtis
Related Documents :
410846 - Radioimmunoassay of capsular polysaccharide antigens of groups a and c meningococci and...
20684056 - New considerations in the cause of spontaneous cerebrospinal fluid otorrhea.
19595376 - Decreased chloride levels of cerebrospinal fluid in patients with amyotrophic lateral s...
7803936 - Detection of antibodies to defined m. tuberculosis antigen (38 kda) in cerebrospinal fl...
823276 - Tobramycin and ticarcillin therapy for exacerbations of pulmonary disease in patients w...
1421446 - Interdigestive antro-duodenal motor disorders in functional dyspepsia. associated chron...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Postgraduate medicine     Volume:  124     ISSN:  1941-9260     ISO Abbreviation:  Postgrad Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2013-01-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  26-35     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, University at Buffalo, Buffalo, NY.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Anticoagulants in patients with atrial fibrillation and end-stage renal disease.
Next Document:  Evaluation of a pretest scoring system (4Ts) for the diagnosis of heparin-induced thrombocytopenia i...