학술논문

Safety concern with electrical cardioversion of persistent atrial fibrillation with slow ventricular response.
Document Type
Article
Source
Pacing & Clinical Electrophysiology. Aug2022, Vol. 45 Issue 8, p963-967. 5p.
Subject
*ATRIAL fibrillation treatment
*VENTRICULAR dysfunction
*CARDIAC pacing
*TREATMENT effectiveness
*VENTRICULAR tachycardia
*CARDIAC arrest
*ELECTRIC countershock
*PATIENT safety
*DISEASE risk factors
*DISEASE complications
Language
ISSN
0147-8389
Abstract
Rhythm control strategies in patients with atrial fibrillation (AF) can bring many clinical benefits. However, there is still uncertainty regarding selection of the optimal rhythm control strategy for persistent AF. Chronicity, substrate alteration, and underlying bradyarrhythmias could influence the clinical outcomes. Current guidelines do not provide a distinct recommendation for electrical cardioversion (ECV) in patients with AF with a slow ventricular response (SVR). We present two cases of sudden cardiac arrest due to sustained ventricular tachycardia/fibrillation after ECV of persistent AF with SVR. [ABSTRACT FROM AUTHOR]