Document Detail

Internal cardioversion in two patients with atrial fibrillation refractory to external cardioversion.
MedLine Citation:
PMID:  8734759     Owner:  NLM     Status:  MEDLINE    
A 26-year-old man underwent an electrophysiological study for evaluation of a history of congenital heart disease, presyncope, and wide complex tachycardia. During the study the patient developed sustained atrial fibrillation with a rapid ventricular response. A 17-year-old man with a history of sick sinus syndrome developed sustained atrial fibrillation. Both patients failed four attempts at external cardioversion with a maximum delivered energy of 360 J. Low energy cardioversion was successful in both patients using biphasic waveforms and internal transvenous defibrillation electrodes. Internal cardioversion using a transvenous electrode system can be successful in patients with atrial fibrillation refractory to external cardioversion.
R A Cooper; E E Johnson; R J Kanter; J J Merrill; R A Sorentino; J M Wharton
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  19     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-10-21     Completed Date:  1996-10-21     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  872-5     Citation Subset:  IM    
Department of Cardiology, Duke University Medical Center, Durham, North Carolina 27710, USA.
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MeSH Terms
Atrial Fibrillation / therapy*
Defibrillators, Implantable*
Electric Countershock*
Electrodes, Implanted
Heart Defects, Congenital / complications
Sick Sinus Syndrome / complications
Syncope / complications
Tachycardia / complications
Grant Support

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

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