Why the study?
Does external electrical cardioversion cause myocardial injury as measured by cardiac troponin I in patients with atrial fibrillation?
Population
193 consecutive patients undergoing elective external electrical cardioversion for atrial fibrillation at a…
Design
Cohort
Follow-up
18-20 hours
Authors
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May reassure on cardioversion safety in AF; leaves open need for randomized confirmation.
Does external electrical cardioversion cause myocardial injury as measured by cardiac troponin I in patients with atrial fibrillation?
External electrical cardioversion using a monophasic defibrillator does not cause myocardial injury, as evidenced by normal post-procedural troponin I levels, regardless of baseline ejection fraction.
Cemin et al. (2005) studied this question.
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