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Related Experiment Video

Updated: Mar 2, 2026

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When Cardioversion May Be Complicated.

Marina Leitman1, Vladimir Tyomkin1, Eli Peleg1

  • 1Department of Cardiology, Assaf Harofeh Medical Center, Zerifin, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

The Israel Medical Association Journal : IMAJ
|May 18, 2017
PubMed
Summary
This summary is machine-generated.

Cardioversion for atrial fibrillation is common, but complications can occur. Older, diabetic patients with severe mitral regurgitation face higher risks, necessitating careful consideration before the procedure.

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Internal Medicine

Background:

  • Cardioversion is a standard procedure for atrial fibrillation, improving symptoms in most patients.
  • However, post-cardioversion complications can arise, necessitating identification of at-risk individuals.
  • Improving patient outcomes requires proactive identification of those susceptible to complications.

Purpose of the Study:

  • To identify patient characteristics associated with cardioversion failure or complications.
  • To characterize individuals who may not benefit from cardioversion or experience adverse events.
  • To inform clinical decision-making regarding cardioversion procedures.

Main Methods:

  • Retrospective analysis of 186 cardioversion episodes in 163 atrial fibrillation patients (2008-2013).
  • Data collection included clinical and echocardiographic parameters.
  • Patients were categorized into uncomplicated and complicated cardioversion groups.

Main Results:

  • Complications occurred in 13% of patients (25/186 episodes).
  • Patients with complications were older (72 vs. 65 years), more frequently diabetic (52% vs. 27%), and had higher left atrial volume and pulmonary artery pressure.
  • Significant mitral regurgitation (20% vs. 4%) and left ventricular hypertrophy were also more prevalent in the complication group.

Conclusions:

  • Older age, diabetes, and severe mitral regurgitation are key indicators of potential cardioversion complications.
  • These patient factors should be carefully evaluated when deciding on cardioversion.
  • Risk stratification can help personalize treatment strategies and improve patient safety.