Initial energy for elective external cardioversion of persistent atrial fibrillation.
We conducted a prospective randomized study to determine the safety and efficacy rate of 3 commonly used energy levels (100, 200, and 360 J) for elective direct-current cardioversion of persistent atrial fibrillation. When compared with 100 and 200 J, the initial success rate with 360 J was significantly higher (14%, 39%, and 95%, respectively), and patients randomized to 360 J ultimately required less total energy and a lower number of shocks.
Joglar
J A
JA
Department of Internal Medicine (Cardiology, Clinical Cardiac Electrophysiology), The University of Texas Southwestern Medical Center, Dallas, Texas 75235-9047, USA.
Hamdan
M H
MH
Ramaswamy
K
K
Zagrodzky
J D
JD
Sheehan
C J
CJ
Nelson
L L
LL
Andrews
T C
TC
Page
R L
RL
D000368:Aged; D000553:Ambulatory Care; D001281:Atrial Fibrillation / Q000503:physiopathology / Q000628:therapy*; D004554:Electric Countershock / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011446:Prospective Studies; D012008:Recurrence; D019233:Retreatment; D019210:Troponin I / Q000097:blood
D019210:Troponin I