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January 12, 1968Acta Medica Scandinavica

An Evaluation of Dc Shock Treatment of Atrial Arrhythmias

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Key result

DC shock treatment successfully reverted permanent atrial arrhythmias to sinus rhythm in 80% of patients during the first attempt, with 23% maintaining sinus rhythm at two years.

Why the study?

Does DC shock treatment improve reversion to sinus rhythm in patients with permanent atrial arrhythmias?

Population

437 patients with permanent atrial arrhythmias

Design

Cohort

Follow-up

minimum of two years

Authors

CBC BjerkelundOslo University HospitalOOOtto M. OrningOslo University Hospital

Discussion

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Implication

DC cardioversion supports acute restoration in permanent atrial arrhythmias; cohort data leaves open optimal long-term maintenance strategies.

Study Design

Type

Observational (n=437)

Structured PICO

Does DC shock treatment improve reversion to sinus rhythm in patients with permanent atrial arrhythmias?

P
Population
437 patients with permanent atrial arrhythmias
I
Intervention
DC shock treatment (1098 shocks given in 572 attempts at reversion)
O
Outcome
Reversion to sinus rhythmsurrogate

DC shock is highly effective for the initial reversion of permanent atrial arrhythmias (80% success), though long-term maintenance of sinus rhythm is lower (23% at 2 years) and anticoagulation appears to reduce embolic complications.

Cite This Study

Bjerkelund et al. (1968) conducted an observational in Permanent atrial arrhythmias (n=437). DC shock treatment was evaluated on Reversion to sinus rhythm during the first attempt. DC shock treatment successfully reverted permanent atrial arrhythmias to sinus rhythm in 80% of patients during the first attempt, with 23% maintaining sinus rhythm at two years.

synapsesocial.com/papers/6a0eda5f218372ada647c745https://doi.org/10.1111/j.0954-6820.1968.tb02489.x

Topics

Atrial fibrillationPersistent AF managementAnticoagulation in AFAF ablation outcomes
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Also Consider

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  1. 1Quinidine Therapy of Chronic Auricular Fibrillation1963 · 86 citations
  2. 2New Method for Terminating Cardiac Arrhythmias1986 · 578 citations
  3. 3The Changes in Cardiac Output with Reversion of Atrial Fibrillation to Sinus Rhythm1965 · 153 citations
  4. 4Electrical Conversion of Atrial Fibrillation1966 · 137 citations
  5. 5Complications in 220 patients with cardiac dysrhythmias treated by phased direct current shock, and indications for electroconversion.1967 · 194 citations