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Related Experiment Videos

Bo Løfgren1,2, Jonas Bjerring Olesen3, Ulla Davidsen4

  • 1Medicinsk Afdeling, Regionshospitalet Randers.

Ugeskrift for Laeger
|November 12, 2024
PubMed
Summary

Direct current (DC) cardioversion effectively restores sinus rhythm in atrial fibrillation patients. Establishing a long-term strategy is crucial due to common relapses after this common procedure.

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Internal Medicine

Background:

  • Direct current (DC) cardioversion is a standard clinical intervention for atrial fibrillation.
  • Thromboembolism risk necessitates adequate anticoagulation prior to DC cardioversion.
  • Current practices in Denmark are reviewed to reflect the state of the art.

Purpose of the Study:

  • To summarize the current best practices for direct current (DC) cardioversion in Denmark.
  • To highlight key considerations for optimizing success and minimizing risks associated with the procedure.

Main Methods:

  • Review of current clinical guidelines and practices for DC cardioversion in Denmark.
  • Emphasis on pre-procedural anticoagulation protocols.
  • Recommendation of specific energy delivery and electrode placement techniques.

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Main Results:

  • High success rates are reported for DC cardioversion.
  • The procedure is associated with a low complication rate.
  • Biphasic shocks at maximum energy using anterolateral electrodes are recommended.

Conclusions:

  • DC cardioversion is a safe and effective method for restoring sinus rhythm in atrial fibrillation.
  • Relapse of atrial fibrillation is frequent, underscoring the need for ongoing management.
  • Long-term strategies, including medication, ablation, and lifestyle modifications, are essential and should be patient-centered.