May 1, 1998Pacing and Clinical Electrophysiology

Spontaneous Reinitiation of Atrial Fibrillation Following Transvenous Atrial Defibrillation

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Why the study?

Does spontaneous reinitiation of atrial fibrillation occur following successful transvenous atrial defibrillation in patients with AF?

Population

11 patients with atrial fibrillation in whom transvenous atrial defibrillation successfully converted AF to…

Design

Case_series

Follow-up

Acute (seconds following shock delivery)

Authors

JSJasbír SraAurora Health Care MBMichael BiehlUniversity of Groningen ZBZalmen BlanckThe University of Texas Health Science Center at San Antonio

Discussion

Member takes

Implication

Early AF reinitiation may follow successful defibrillation via PACs; leaves open whether PAC suppression prevents immediate recurrence.

Structured PICO

Does spontaneous reinitiation of atrial fibrillation occur following successful transvenous atrial defibrillation in patients with AF?

Population

11 patients (mean age 60 +/- 8 years, 3 male, 8 female) with atrial fibrillation (8 paroxysmal, 3 chronic persistent for 4 weeks or more) in whom transvenous atrial defibrillation successfully converted AF to sinus rhythm.

Intervention

Transvenous atrial defibrillation using multipolar transvenous catheters positioned inside the coronary sinus, right atrium, and right ventricle (METRIX system in 9 patients, Ventritex HVSO2 in 2 patients).

Outcome

Spontaneous reinitiation of atrial fibrillation following successful transvenous atrial defibrillation

Spontaneous reinitiation of atrial fibrillation can occur shortly after successful transvenous atrial defibrillation and is consistently triggered by premature atrial complexes.

Cite This Study

Sra et al. (1998) studied this question.

synapsesocial.com/papers/6a2134cb0617c1d2c6342c95 https://doi.org/10.1111/j.1540-8159.1998.tb00157.x

Topics

Atrial fibrillation Persistent AF management AF ablation outcomes Anticoagulation in AF

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Spontaneous Reinitiation of Atrial Fibrillation Following Transvenous Atrial Defibrillation

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Spontaneous Reinitiation of Atrial Fibrillation Following Transvenous Atrial Defibrillation

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider