Anterior-posterior versus anterior-lateral electrode position for external electrical cardioversion of atrial fibrillation: A meta-analysis of randomized controlled trials

Zhang, Baowei; Li, Xiaoli; Shen, Dongli; Zhen, Yan; Tao, Aibin; Zhang, Guohui

doi:10.1016/j.acvd.2014.04.002

Cited by 21 publications

(19 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although some studies have shown that antero-posterior electrode placement is more effective than the traditional antero-apical position in elective cardioversion of atrial fibrillation, 439,440 the majority have failed to demonstrate any clear advantage of any specific electrode position. [441][442][443][444] Efficacy of cardioversion may be less dependent on electrode position when using biphasic impedance-compensated waveforms. [443][444][445] The following electrode positions all appear safe and effective for cardioversion of atrial arrhythmias:…”

Section: Electrode Positionmentioning

confidence: 99%

See 1 more Smart Citation

European Resuscitation Council Guidelines for Resuscitation 2015

et al. 2015

View full text Add to dashboard Cite

These Guidelines are based on the International Liaison Committee on Resuscitation (ILCOR) 2015 Consensus on Science and Treatment Recommendations (CoSTR) for ALS. 4 The 2015 ILCOR review focused on 42 topics organised in the approximate sequence of ALS interventions: defibrillation, airway, oxygenation and ventilation, circulatory support, monitoring during CPR, and drugs during CPR. For these Guidelines the ILCOR recommendations were supplemented by focused literature reviews undertaken by the ERC ALS Writing Group for those topics not reviewed in the 2015 ILCOR CoSTR. Guidelines were drafted and agreed by the ALS Writing Group members before final approval by the ERC General Assembly and ERC Board. Summary of changes since 2010 GuidelinesThe 2015 ERC ALS Guidelines have a change in emphasis aimed at improved care and implementation of these guidelines in order to improve patient focused outcomes. 5 The 2015 ERC ALS Guidelines do not include any major changes in core ALS interventions since the previous ERC guidelines published in 2010. 1,2 The key changes since 2010 are:• Continuing emphasis on the use of rapid response systems for care of the deteriorating patient and prevention of in-hospital cardiac arrest. • Continued emphasis on minimally interrupted high-quality chest compressions throughout any ALS intervention: chest

show abstract

Section: Electrode Positionmentioning

confidence: 99%

“…[441][442][443][444] Efficacy of cardioversion may be less dependent on electrode position when using biphasic impedance-compensated waveforms. [443][444][445] The following electrode positions all appear safe and effective for cardioversion of atrial arrhythmias:…”

Section: Electrode Positionmentioning

confidence: 99%

European Resuscitation Council Guidelines for Resuscitation 2015

et al. 2015

View full text Add to dashboard Cite

show abstract

“…reported on the use of ice crystals (of different size) to form pores in collagen scaffolds; a 3D scaffold with a gradient of micrometer‐sized (150–500 µm) pores could be obtained. [ 92 ]…”

Section: Conclusion and Future Perspectivesmentioning

confidence: 99%

Concentration Gradients in Material Sciences: Methods to Design and Biomedical Applications

Hua

Xiong

Braeckmans

et al. 2021

Adv Funct Materials

View full text Add to dashboard Cite

Concentration gradients are at the basis of many natural phenomena and hold great importance in human and plant biology. This basic phenomenon has inspired many material scientists to confer novel and original properties to materials with numerous biomedical and pharmaceutical applications such as drug discovery, controlled release of drugs, tissue engineering, orthopedic implants and time–temperature indicators, amongst others. While the generation of gradients in solution is well described, their incorporation in solid materials remains challenging. This study reviews concepts and methods reported to generate gradients in respective solutions and (at the surface or in) solid materials like polymer scaffolds and matrices. This article also discusses how innovative materials possessing such gradients may be applied in biomedicine and pharmacy.

show abstract

“…A recent large meta‐analysis did not demonstrate a difference in cardioversion success rates for different electrode positions (anteroposterior [AP] vs anteroapical [AA]) in most patients . However, this did not specifically examine electrode positions in obese patients.…”

Section: Introductionmentioning

confidence: 98%

Cardioversion of atrial fibrillation in obese patients: Results from the Cardioversion‐BMI randomized controlled trial

Voskoboinik

Moskovitch

Plunkett

et al. 2018

Cardiovasc electrophysiol

View full text Add to dashboard Cite

Aims: Obesity is associated with higher electrical cardioversion (ECV) failure in persistent atrial fibrillation (PeAF). For ease-of-use, many centers prefer patches over paddles. We assessed the optimum modality and shock vector, as well as the safety and efficacy of the Manual Pressure Augmentation (MPA) technique. Methods: Patients with obesity (BMI ≥ 30) and PeAF undergoing ECV using a biphasic defibrillator were randomized into one of four arms by modality (adhesive patches or handheld paddles) and shock vector (anteroposterior [AP] or anteroapical [AA]). If the first two shocks (100 and 200 J) failed, then patients received a 200-J shock using the alternative modality (patch or paddle). Shock vector remained unchanged. In an observational substudy, 20 patients with BMI of 35 or more, and who failed ECV at 200 J using both patches/paddles underwent a trial of MPA.Results: In total, 125 patients were randomized between July 2016 and March 2018. First or second shock success was 43 of 63 (68.2%) for patches and 56 of 62 (90.3%) for paddles (P = 0.002). There were 20 crossovers from patches to paddles (12 of 20 third shock success with paddles) and six crossovers from paddles to patches (three of six third shock success with patches). Paddles successfully cardioverted 68 of 82 patients compared with 46 of 69 using patches (82.9% vs 66.7%; P = 0.02). Shock vector did not influence first or second shock success rates (82.0% AP vs 76.6% AA; P = 0.46). MPA was successful in 16 of 20 (80%) who failed in both (patches/paddles), with 360 J required in six of seven cases.

show abstract

Anterior-posterior versus anterior-lateral electrode position for external electrical cardioversion of atrial fibrillation: A meta-analysis of randomized controlled trials

Cited by 21 publications

References 24 publications

European Resuscitation Council Guidelines for Resuscitation 2015

European Resuscitation Council Guidelines for Resuscitation 2015

Concentration Gradients in Material Sciences: Methods to Design and Biomedical Applications

Cardioversion of atrial fibrillation in obese patients: Results from the Cardioversion‐BMI randomized controlled trial

Contact Info

Product

Resources

About