Esophageal Electrical Cardioversion of Atrial Fibrillation
Author Information
Author(s): Luca Santini, Giovanni B. Forleo, Francesco Romeo
Primary Institution: University of Rome “Tor Vergata”
Hypothesis
Esophageal cardioversion may provide a more effective alternative to standard external cardioversion in certain patients.
Conclusion
Esophageal cardioversion is a safe and effective technique for restoring sinus rhythm, particularly in patients with high thoracic impedance.
Supporting Evidence
- Esophageal cardioversion has a high effectiveness rate of 95.3%.
- Using 50 J or less, 88.5% of patients can be successfully cardioverted.
- The technique is well tolerated and can be performed in an outpatient setting.
- Esophageal cardioversion avoids the need for general anesthesia or deep sedation.
Takeaway
Doctors can use a special method to help patients with heart rhythm problems without needing heavy sedation, which is easier for some patients.
Methodology
The study compared esophageal cardioversion with external cardioversion under conscious sedation.
Limitations
Esophageal cardioversion may not be the first choice due to economic issues and complexity.
Participant Demographics
Patients with atrial fibrillation, particularly those who are obese or have COPD.
Digital Object Identifier (DOI)
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