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Related Experiment Videos

Electrical cardioversion for atrial fibrillation and flutter.

G E Mead1, A D Flapan, A T Elder

  • 1Clinical and Surgical Sciences, University of Edinburgh, 21 Chalmers Street, Edinburgh, UK, EH3 9EW. gmead@srv1.med.ed.ac.uk

The Cochrane Database of Systematic Reviews
|March 1, 2002
PubMed
Summary
This summary is machine-generated.

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Electrical cardioversion for atrial fibrillation lacks supporting randomized trial data. Further research is needed to confirm its effectiveness and safety in restoring sinus rhythm and preventing stroke.

Area of Science:

  • Cardiology
  • Clinical Trials
  • Electrophysiology

Background:

  • Atrial fibrillation (AF) increases stroke and cognitive impairment risk.
  • Electrical cardioversion aims to restore sinus rhythm, potentially reducing stroke risk and need for anticoagulation.

Purpose of the Study:

  • To assess electrical cardioversion's effects on thromboembolic events, stroke, mortality, cognitive decline, and quality of life in AF patients.
  • To evaluate its impact on anticoagulant use and re-hospitalization rates.

Main Methods:

  • Comprehensive literature search of multiple databases and conference proceedings up to December 2000.
  • Included randomized controlled trials or controlled clinical trials comparing electrical cardioversion plus usual care versus usual care alone.

Related Experiment Videos

Main Results:

  • No completed randomized controlled trials or controlled clinical trials were identified.
  • Two ongoing trials were found during the search.

Conclusions:

  • Current evidence from completed randomized trials is insufficient to support or refute electrical cardioversion for AF.
  • There is a need for well-designed randomized trials to establish the efficacy and safety of electrical cardioversion.