Internal Versus External Electrical Cardioversion of Atrial Arrhythmia in Patients With Implantable Cardioverter-Defibrillator
Author(s) -
Jakob Lüker,
Kathrin Kuhr,
Arian Sultan,
Georg Nölker,
Hazem Omran,
Stephan Willems,
René Andrié,
Jan W. Schrickel,
Stefan Winter,
Dirk Vollmann,
Roland Richard Tilz,
Alexander Jobs,
ChristianHendrik Heeger,
Andreas Metzner,
Sven Meyer,
Karl Mischke,
Andreas Napp,
Andreas Fahrig,
Susanne Steinhauser,
Johannes Brachmann,
Stephan Baldus,
Rajiv Mahajan,
Prashanthan Sanders,
Daniel Steven
Publication year - 2019
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.119.041320
Subject(s) - medicine , cardioversion , cardiology , sinus rhythm , shock (circulatory) , atrial fibrillation , anesthesia , defibrillation , randomized controlled trial
Atrial arrhythmias are common in patients with implantable cardioverter-defibrillator (ICD). External shocks and internal cardioversion through commanded ICD shock for electrical cardioversion are used for rhythm-control. However, there is a paucity of data on efficacy of external versus internal cardioversion and on the risk of lead and device malfunction. We hypothesized that external cardioversion is noninferior to internal cardioversion for safety, and superior for successful restoration of sinus rhythm.
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