Document Detail

Low-energy internal cardioversion for atrial fibrillation resistant to external cardioversion.
MedLine Citation:
PMID:  7743009     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: This report describes the electrical conversion of atrial fibrillation in two morbidly obese patients refractory to external cardioversion at 360 J.
METHODS AND RESULTS: The two patients were lightly sedated and underwent placement of decapolar catheters in the coronary sinus and right atrial appendage. All ten electrodes of each decapolar catheter were electrically coupled, and defibrillation was attempted at successively increasing levels using a biphasic decaying exponential waveform generated by an external defibrillator. Both patients were returned to normal sinus rhythm using < or = 10 J without complication.
CONCLUSION: Internal cardioversion is effective in restoration of sinus rhythm in some patients refractory to conventional forms of therapy.
B M Baker; G W Botteron; J M Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  6     ISSN:  1045-3873     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  1995 Jan 
Date Detail:
Created Date:  1995-06-15     Completed Date:  1995-06-15     Revised Date:  2014-02-06    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  44-7     Citation Subset:  IM    
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MeSH Terms
Atrial Fibrillation / therapy*
Electric Countershock*
Middle Aged

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

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