Electrical cardioversion of emergency department patients with atrial fibrillation

Annals of Emergency Medicine
John H BurtonJeff J McInturff

Abstract

Electrical cardioversion of emergency department (ED) patients with atrial fibrillation has not been well investigated. The objective of this study is to identify the outcomes and complications associated with ED electrical cardioversion of patients with atrial fibrillation. This retrospective health records survey investigated a consecutive cohort of ED patients with atrial fibrillation who underwent electrical cardioversion in 4 EDs during a 42-month period. Trained personnel reviewed medical records for demographic characteristics, clinical descriptors, medical interventions, complications, and ED return visits within 7 days. Data were analyzed using descriptive statistics. The study population consisted of 388 patients (mean age 61 years; range 20 to 93 years). Duration of atrial fibrillation was less than 48 hours in 99% of the cohort. Electrical cardioversion was successful in 332 (86%) patients. Twenty-eight complications were noted in 25 electrical cardioversion encounters: 22 attributed to procedural sedation and analgesia and 6 attributed to electrical cardioversion. Three hundred thirty-three (86%) patients were discharged to home from the ED: 301 after electrical cardioversion success and 32 with electrical cardiove...Continue Reading

Citations

Dec 24, 2005·Emergency Medicine Journal : EMJ·G K LoA D Haig
Mar 1, 2013·The Western Journal of Emergency Medicine·David R Vinson, Casey L Hoehn
Oct 5, 2017·Clinical Medicine : Journal of the Royal College of Physicians of London·Alastair J Rankin, Stephen H Rankin
Dec 14, 2019·Internal and Emergency Medicine·Giovanni Luca Botto, Giovanni Tortora
Mar 14, 2020·Expert Review of Cardiovascular Therapy·K E Juhani Airaksinen
May 16, 2014·Critical Pathways in Cardiology·Darryl A ElmouchiMichael D Brown
Nov 30, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ian G StiellGeorge A Wells
Oct 3, 2006·Scandinavian Cardiovascular Journal : SCJ·Hanna Kyhälä-ValtonenLiisa-Maria Voipio-Pulkki
Nov 22, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Carly RogensteinIan G Stiell
Apr 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Frank Xavier ScheuermeyerMaziar Sighary
Jan 10, 2012·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·Ron PistersUNKNOWN Euro Heart Survey Investigators
Dec 7, 2011·Emergency Medicine International·Brian Doyle, Mark Reeves
Aug 24, 2016·Pacing and Clinical Electrophysiology : PACE·F Daniel RamirezDavid H Birnie
Oct 25, 2012·Internal and Emergency Medicine·Andrea TampieriTiziano Lenzi
Dec 24, 2014·Pacing and Clinical Electrophysiology : PACE·Toni GrönbergK E Juhani Airaksinen
Sep 13, 2018·Annals of Medicine·Samuli JaakkolaK E Juhani Airaksinen
May 21, 2013·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·Toni GrönbergK E Juhani Airaksinen
Jul 3, 2013·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Anselm K GittThorsten Lewalter
Jul 17, 2010·The Journal of Emergency Medicine·David R VinsonTerry M Williams
Aug 1, 2016·JACC. Clinical Electrophysiology·Demosthenes G Katritsis, Mark E Josephson
Aug 17, 2021·Advanced Emergency Nursing Journal·Andrew J MatuskowitzJeffrey Caporossi
Feb 19, 2011·The Canadian Journal of Cardiology·Ian G StiellUNKNOWN CCS Atrial Fibrillation Guidelines Committee

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