Hot Off the Press: Chemical Versus Electrical Cardioversion for Atrial Fibrillation
- PMID: 31626719
- DOI: 10.1111/acem.13874
Hot Off the Press: Chemical Versus Electrical Cardioversion for Atrial Fibrillation
Abstract
Atrial fibrillation (AF) is a significant dysrhythmia that often requires treatment in the emergency department (ED). This can be performed with rhythm control using electrical or chemical cardioversion or with rate control. There is widespread variation in management of AF within Canada and worldwide. This study focuses on rhythm control techniques, comparing ED length of stay when using an electrical-first strategy versus a chemical-first strategy of cardioversion.
© 2019 by the Society for Academic Emergency Medicine.
Comment on
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A Multicenter Randomized Trial to Evaluate a Chemical-first or Electrical-first Cardioversion Strategy for Patients With Uncomplicated Acute Atrial Fibrillation.Acad Emerg Med. 2019 Sep;26(9):969-981. doi: 10.1111/acem.13669. Epub 2019 Aug 19. Acad Emerg Med. 2019. PMID: 31423687 Clinical Trial.
References
-
- Naccarelli GV, Varker H, Lin J, Schulman KL. Increasing prevalence of atrial fibrillation and flutter in the United States. Am J Cardiol 2009;104:1534-9.
-
- Andrade JG, Verma A, Mitchell LB, et al. 2018 focused update of the Canadian Cardiovascular Society guidelines for the management of atrial fibrillation. Can J Cardiol 2018;34:1371-92.
-
- Stiell IG, Clement CM, Brison RJ, Rowe BH, Borgund-vaag B, Langhan T. Variation in management of recent-onset atrial fibrillation and flutter among academic emergency departments. Ann Emerg Med 2011;57:13-21.
-
- Michael JA, Stiell IG, Agarwal S, Mandavia DP. Cardioversion of paroxysmal atrial fibrillation in the emergency department. Ann Emerg Med 1999;33:379-87.
-
- Stiell IG, Clement CM, Symington C, Perry JJ, Vaillancourt C, Wells G. Emergency department use of intra-venous procainamide for patients with acute atrial fibrillation or flutter. Acad Emerg Med 2007;14:1158-64.
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