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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Cardioversion of atrial fibrillation and atrial flutter revisited: current evidence and practical guidance for a

Axel Brandes1,2, Harry J G M Crijns3, Michiel Rienstra4

  • 1Department of Cardiology, Odense University Hospital, J.B. Winsløws Vej 4, 5000 Odense C, Denmark.

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
|April 28, 2020
PubMed

Insights

Cardioversion is a common treatment for atrial fibrillation (AF) and atrial flutter. This summary provides guidance on electrical and pharmacological cardioversion, anticoagulation, and recurrence risks.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Atrial fibrillation (AF) and atrial flutter are common arrhythmias.
  • Rhythm control is a key strategy for managing these conditions.

Purpose of the Study:

  • To summarize current evidence on cardioversion for AF and atrial flutter.
  • To provide practical guidance on clinical management, including anticoagulation and complication risks.

Main Methods:

  • Literature review of electrical and pharmacological cardioversion.
  • Analysis of peri-procedural anticoagulation and thromboembolic complications.
  • Evaluation of success rates and recurrence risk factors.

Main Results:

  • Cardioversion is effective for restoring sinus rhythm in AF and atrial flutter.
  • Appropriate anticoagulation is crucial to minimize thromboembolic risk.
  • Recurrence of AF/atrial flutter is common, influenced by various risk factors.

Conclusions:

  • Cardioversion is a valuable tool for rhythm control in AF and atrial flutter.
  • Careful patient selection and peri-procedural management optimize outcomes.
  • Understanding recurrence factors aids in long-term management strategies.

Keywords:
AnticoagulationAtrial fibrillationAtrial flutterElectrical cardioversionPharmacological cardioversionThromboembolism

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