| An update on electrical cardioversion of atrial fibrillation. | |
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MedLine Citation:
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PMID: 14739729 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Atrial fibrillation is the most frequently encountered sustained arrhythmia in clinical practice. Electrical cardioversion of atrial fibrillation using damped sine wave shocks has been a mainstay of therapy for nearly 4 decades; its limitation remains a failure rate that approaches 20%. Although several alternatives have been proposed, including delivering 720 J shocks using dual monophasic defibrillators, ibutilide pretreatment and internal cardioversion, each of these approaches has significant limitations, which preclude its routine use. Recent data demonstrate that routine use of biphasic shocks for cardioversion of atrial fibrillation is associated with a marked improvement in cardioversion efficacy and suggest that biphasic shocks may be the preferred method for the transthoracic electrical cardioversion of atrial fibrillation. |
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Authors:
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Suneet Mittal; Kenneth M Stein; Steven M Markowitz; Sei Iwai; Amit Guttigoli; Bruce B Lerman |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Cardiac electrophysiology review Volume: 7 ISSN: 1385-2264 ISO Abbreviation: Card Electrophysiol Rev Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2004-01-23 Completed Date: 2004-06-17 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9708907 Medline TA: Card Electrophysiol Rev Country: United States |
Other Details:
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Languages: eng Pagination: 285-9 Citation Subset: IM |
Affiliation:
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Department of Medicine, Division of Cardiology, Cornell University Medical Center, New York, NY 10021, USA. sum2010@med.cornell.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Arrhythmia Agents
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therapeutic use Atrial Fibrillation / therapy* Electric Countershock* / methods Humans Sulfonamides / therapeutic use Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Arrhythmia Agents; 0/Sulfonamides; 130350-52-6/ibutilide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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