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Direct-current cardioversion for the conversion of atrial flutter

P Chalasani1, S Cambre, M E Silverman

  • 1Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

The American Journal of Cardiology
|March 15, 1996
PubMed
Summary
This summary is machine-generated.

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Direct-current cardioversion is recommended for hemodynamically stable atrial flutter, using an initial setting of 200 Joules. This treatment can be safely performed in an outpatient setting, reducing costs and risks associated with hospitalization and drug therapies.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Atrial flutter is a common supraventricular tachyarrhythmia.
  • Current treatment guidelines for hemodynamically stable atrial flutter vary.
  • Concerns exist regarding the safety and cost-effectiveness of inpatient management and pharmacologic interventions.

Purpose of the Study:

  • To evaluate the efficacy and safety of direct-current cardioversion for hemodynamically stable atrial flutter in an outpatient setting.
  • To assess the potential cost savings and risk reduction compared to traditional treatment approaches.

Main Methods:

  • A retrospective analysis of patients with hemodynamically stable atrial flutter treated with direct-current cardioversion.
  • Standardized procedure using an initial energy setting of 200 Joules.
  • Data collection included procedure success rates, adverse events, and length of stay.

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Main Results:

  • Direct-current cardioversion at 200 Joules demonstrated a high success rate in restoring normal sinus rhythm.
  • The procedure was safely performed in an outpatient environment with minimal complications.
  • Outpatient treatment resulted in significant cost savings compared to inpatient management.

Conclusions:

  • Direct-current cardioversion with an initial setting of 200 Joules is an effective and safe treatment for hemodynamically stable atrial flutter.
  • Outpatient management of atrial flutter via cardioversion offers a cost-effective and less hazardous alternative to hospitalization and drug therapy.