Simultaneous double external DC shock technique for refractory atrial fibrillation in concomitant heart disease


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Kabukcu M., Demircioglu F., Yanik E., Minareci K., Ersel-Tuzuner F.

JAPANESE HEART JOURNAL, vol.45, no.6, pp.929-936, 2004 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 45 Issue: 6
  • Publication Date: 2004
  • Doi Number: 10.1536/jhj.45.929
  • Journal Name: JAPANESE HEART JOURNAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.929-936
  • Keywords: atrial fibrillation, cardioversion, INTERNAL CARDIOVERSION, DEFIBRILLATION THRESHOLD, BIPHASIC SHOCKS, EFFICACY, SAFETY
  • Akdeniz University Affiliated: No

Abstract

Atrial fibrillation (AF) has been treated with DC shocks delivered transthoracically, but in 5-30% of patients, the procedures fail to restore sinus rhythm (SR). We hypothesized that applying high energy shock waves to the chest may overcome the inadequate penetration of electrical shock to the atrium. The aim of this study was to evaluate the efficacy of higher energy external DC shock for the treatment of refractory AF coexisting with cardiovascular disease using a synchronized double external defibrillator.