Electric cardioversion as therapeutic modality in patients with atrial fibrillation
Keywords:
atrial fibrillation, electric cardioversion, successful procedure, secondary health care.Abstract
A descriptive study of 32 patients with atrial fibrillation exposed to electric cardioversion in the Cardiology Service of "Dr. Juan Bruno Zayas Alfonso"TeachingGeneralHospitalinSantiago de Cubawas carried out from June, 2013 to the same period of2016, inorder to relate the clinical and echocardiographic variables with success in the procedure. It was found that in most of the affected cases the electric shock was successful; therefore, the used method was safe and effective to treat the disease and the above mentioned variables were related with the success or failure of this therapeutic modality.
Downloads
Download data is not yet available.
References
1. Gaziano TA, Prabhakaran D, Gaziano JM. Repercusión global de las enfermedades cardiovasculares. En: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E. Braunwald. Tratado de Cardiología. Texto de Medicina Cardiovascular.10 Ed. Barcelona: Elsevier; 2016. p. 1-20.
2. Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D, Casadei B, et al. Guia ESC 2016 sobre el diagnóstico y tratamiento de la fibrilación auricular, desarrollada en colaboración con la EACTS. Rev Esp Cardiol. 2017; 70(1):50.
3. Morady F, Zipes DP. Fibrilación auricular: manifestaciones clínicas, mecanismos y tratamiento. En: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E. Braunwald. Tratado de Cardiología. Texto de Medicina Cardiovascular. 10 Ed. Barcelona: Elsevier; 2016. p. 798-820.
4. Sánchez Lorenzo I, Lozano Manzano L, Áreas Ortiz LC, Pelier Nuñez IG. Aspectos clínicos de la fibrilación auricular paroxística en pacientes de Las Tunas. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. 2016 [citado 04/02/2017]; 41(8). Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/841/pdf_315
5. Hankey GJ, Norrving B, Hacke W, Steiner T. Management of acute stroke in patients taking novel oral anticoagulants. Int J Stroke. 2014; 9(5):627–32.
6. Rodulfo García M, de Dios Lorente JA, Torralbas Reverón FE, Castellanos Tardo JR. Fibrilación auricular en el período posoperatorio precoz de la cirugía de revascularización coronaria. MEDISAN. 2013 [citado 04/02/2017]; 17(6). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192013000600007
7. Whitlock R, Healey J, Vincent J, Brady K, Teoh K, Royse A, et al. Rationale and design of the Left Atrial Appendage Occlusion Study (LAAOS) III. Ann Cardiothorac Surg. 2014; 3(1):45–54.
8. Beinart SC. Synchronized electrical cardioversion. Medscape. 2016 [citado 04/02/2017]. Disponible en: https://emedicine.medscape.com/article/1834044-overvie
9. Hansen ML, Jepsen RM, Olesen JB, Ruwald MH, Karasoy D, Gislason GH, et al. Thromboembolic risk in 16 274 atrial fibrillation patients undergoing direct current cardioversion with and without oral anticoagulant therapy. Europace. 2015; 17(1):18–23.
10. Miranda Folch JJ, Vega Jiménez J, García Cuervo D, Díaz Alvelo R, Cabeza Echevarría I, Caraballoso García L. Aproximación diagnóstica y terapéutica ante la fibrilación auricular. Rev Med Electrón. 2017 [citado 04/02/2017]; 39(6). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000600009
11. Ko D, Rahman F, Schnabel RB, Yin X, Benjamin EJ, Christophersen IE. Atrial fibrillation in women: epidemiology, pathophysiology, presentation, and prognosis. Nat Rev Cardiol. 2016; 13(6):321–32.
12. Voigt N, Heijman J, Wang Q, Chiang DY, Li N, Karck M, et al. Cellular and molecular mechanisms of atrial arrhythmogenesis in patients with paroxysmal atrial fibrillation. Circulation. 2014; 129(2):145–56.
13. Müssigbrodt A, John S, Kosiuk J, Richter S, Hindricks G, Bollmann A. Vernakalant facilitated electrical cardioversion: comparison of intravenous vernakalant and amiodarone for drug-enhanced electrical cardioversion of atrial fibrillation after failed electrical cardioversion. Europace. 2016; 18(1):51–6.
14. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coat AJS, et al. Guía ESC 2016 sobre el diagnóstico y tratamiento de la insuficiencia cardiaca aguda y crónica. Rev Esp Cardiol. 2016; 69(12):1167.
15. Marott SC, Nielsen SF, Benn M, Nordestgaard BG. Antihypertensive treatment and risk of atrial fibrillation: a nationwide study. Eur Heart J. 2014; 35(18):1205–14.
16. Baumgartner H, Falk V, Jeroen J, De Bonis M, Hamm C, Holm PJ, et al. Guía ESC/EACTS 2017 sobre el tratamiento de las valvulopatías. Rev Esp Cardiol. 2018; 71(2):110.
17. Rizzo MR, Sasso FC, Marfella R, Siniscalchi M, Paolisso P, Carbonara O, et al. Autonomic dysfunction is associated with brief episodes of atrial fibrillation in type 2 diabetes. J Diabetes Complications. 2015; 29(1):88–92.
18. Goete A, Heidbuchel H. Practical implementation of anticoagulation strategy for patients undergoing cardioversion of atrial fibrillation. Arrhythm Electrophysiol Rev. 2017; 6(2):50–4.
19. Scott D, Solomon SD, Wu J, Gillam L, Bulwer B. Ecocardiografía. En: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E. Braunwald. Tratado de Cardiología. Texto de Medicina Cardiovascular 10 Ed. Barcelona: Elsevier; 2016. p. 194-206.
20. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, MD, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015; 28(1):1-39.
2. Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D, Casadei B, et al. Guia ESC 2016 sobre el diagnóstico y tratamiento de la fibrilación auricular, desarrollada en colaboración con la EACTS. Rev Esp Cardiol. 2017; 70(1):50.
3. Morady F, Zipes DP. Fibrilación auricular: manifestaciones clínicas, mecanismos y tratamiento. En: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E. Braunwald. Tratado de Cardiología. Texto de Medicina Cardiovascular. 10 Ed. Barcelona: Elsevier; 2016. p. 798-820.
4. Sánchez Lorenzo I, Lozano Manzano L, Áreas Ortiz LC, Pelier Nuñez IG. Aspectos clínicos de la fibrilación auricular paroxística en pacientes de Las Tunas. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. 2016 [citado 04/02/2017]; 41(8). Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/841/pdf_315
5. Hankey GJ, Norrving B, Hacke W, Steiner T. Management of acute stroke in patients taking novel oral anticoagulants. Int J Stroke. 2014; 9(5):627–32.
6. Rodulfo García M, de Dios Lorente JA, Torralbas Reverón FE, Castellanos Tardo JR. Fibrilación auricular en el período posoperatorio precoz de la cirugía de revascularización coronaria. MEDISAN. 2013 [citado 04/02/2017]; 17(6). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192013000600007
7. Whitlock R, Healey J, Vincent J, Brady K, Teoh K, Royse A, et al. Rationale and design of the Left Atrial Appendage Occlusion Study (LAAOS) III. Ann Cardiothorac Surg. 2014; 3(1):45–54.
8. Beinart SC. Synchronized electrical cardioversion. Medscape. 2016 [citado 04/02/2017]. Disponible en: https://emedicine.medscape.com/article/1834044-overvie
9. Hansen ML, Jepsen RM, Olesen JB, Ruwald MH, Karasoy D, Gislason GH, et al. Thromboembolic risk in 16 274 atrial fibrillation patients undergoing direct current cardioversion with and without oral anticoagulant therapy. Europace. 2015; 17(1):18–23.
10. Miranda Folch JJ, Vega Jiménez J, García Cuervo D, Díaz Alvelo R, Cabeza Echevarría I, Caraballoso García L. Aproximación diagnóstica y terapéutica ante la fibrilación auricular. Rev Med Electrón. 2017 [citado 04/02/2017]; 39(6). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000600009
11. Ko D, Rahman F, Schnabel RB, Yin X, Benjamin EJ, Christophersen IE. Atrial fibrillation in women: epidemiology, pathophysiology, presentation, and prognosis. Nat Rev Cardiol. 2016; 13(6):321–32.
12. Voigt N, Heijman J, Wang Q, Chiang DY, Li N, Karck M, et al. Cellular and molecular mechanisms of atrial arrhythmogenesis in patients with paroxysmal atrial fibrillation. Circulation. 2014; 129(2):145–56.
13. Müssigbrodt A, John S, Kosiuk J, Richter S, Hindricks G, Bollmann A. Vernakalant facilitated electrical cardioversion: comparison of intravenous vernakalant and amiodarone for drug-enhanced electrical cardioversion of atrial fibrillation after failed electrical cardioversion. Europace. 2016; 18(1):51–6.
14. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coat AJS, et al. Guía ESC 2016 sobre el diagnóstico y tratamiento de la insuficiencia cardiaca aguda y crónica. Rev Esp Cardiol. 2016; 69(12):1167.
15. Marott SC, Nielsen SF, Benn M, Nordestgaard BG. Antihypertensive treatment and risk of atrial fibrillation: a nationwide study. Eur Heart J. 2014; 35(18):1205–14.
16. Baumgartner H, Falk V, Jeroen J, De Bonis M, Hamm C, Holm PJ, et al. Guía ESC/EACTS 2017 sobre el tratamiento de las valvulopatías. Rev Esp Cardiol. 2018; 71(2):110.
17. Rizzo MR, Sasso FC, Marfella R, Siniscalchi M, Paolisso P, Carbonara O, et al. Autonomic dysfunction is associated with brief episodes of atrial fibrillation in type 2 diabetes. J Diabetes Complications. 2015; 29(1):88–92.
18. Goete A, Heidbuchel H. Practical implementation of anticoagulation strategy for patients undergoing cardioversion of atrial fibrillation. Arrhythm Electrophysiol Rev. 2017; 6(2):50–4.
19. Scott D, Solomon SD, Wu J, Gillam L, Bulwer B. Ecocardiografía. En: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E. Braunwald. Tratado de Cardiología. Texto de Medicina Cardiovascular 10 Ed. Barcelona: Elsevier; 2016. p. 194-206.
20. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, MD, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015; 28(1):1-39.
Published
2018-08-14
How to Cite
1.
Varela García RJ. Electric cardioversion as therapeutic modality in patients with atrial fibrillation. MEDISAN [Internet]. 2018 Aug. 14 [cited 2025 Jun. 3];22(7). Available from: https://medisan.sld.cu/index.php/san/article/view/1296
Issue
Section
Original Articles
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.
![Secimed](/templates/images/secimed.png"){kind=small}
Guidelines for authors
