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Updated: Jun 22, 2026
11:21
Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
Defibrillation testing in patients with atrial fibrillation
Hoong Sern Lim1, Gregory Y H Lip
1University Department of Medicine, City Hospital, Birmingham B18 7QH, UK. hsern@doctors.net.uk
Summary
Implantable cardioverter defibrillator implantation requires anticoagulation for atrial fibrillation (AF) cardioversion during testing. This study identified factors for successful cardioversion and assessed anticoagulation safety in AF patients.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Implantable cardioverter defibrillator (ICD) implantation in patients with atrial fibrillation (AF) presents unique challenges.
- Anticoagulation is necessary during defibrillation testing, potentially complicating management.
Purpose of the Study:
- To identify factors influencing successful cardioversion of AF during ventricular defibrillation testing.
- To evaluate the safety and efficacy of the local anticoagulation protocol in this patient population.
Main Methods:
- Retrospective analysis of patients undergoing ICD implantation with AF.
- Evaluation of clinical data related to defibrillation testing outcomes and anticoagulation management.
Main Results:
- Key factors associated with successful AF cardioversion during defibrillation testing were identified.
- The safety profile of the established anticoagulation protocol was assessed.
Conclusions:
- Understanding factors for successful cardioversion can optimize ICD implantation procedures in AF patients.
- The local anticoagulation protocol demonstrated acceptable safety for defibrillation testing.
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