Further Experience of Electrical Conversion of Atrial Fibrillation to Sinus Rhythm: Analysis of 100 Patients

Oram, Samuel; Davies, Joan

doi:10.1016/s0140-6736(64)91692-7

Cited by 107 publications

(56 citation statements)

References 18 publications

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“…(5% compares favorably with that of other series [3,4,7,11,12,14]. The incidence of reversion to atrial fibrillation during the first 6 to 8 months is usually reported to be around 40 lo 50%.…”

Section: Commentsmentioning

confidence: 52%

See 1 more Smart Citation

Long-Term Results of Conversion of Atrial Fibrillation by Direct Current Countershock

Coelho¹,

Ls²,

As³

et al. 1967

Cardiology

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Section: Commentsmentioning

confidence: 52%

“…Our results are definitely less favorable (26.5%). Some authors [12] found a slightly higher percentage of successful cardioversion in patients in whom atrial fibrillation was consecutive to rheumatic heart disease. The same observation was made in our series.…”

Section: Commentsmentioning

confidence: 98%

Long-Term Results of Conversion of Atrial Fibrillation by Direct Current Countershock

Coelho¹,

Ls²,

As³

et al. 1967

Cardiology

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“…The decision to attempt cardioversion in atrial fibrillation depends not so much on the ability to terminate the arrhythmia, initial success rates of over 70% being usual [18][19][20] , but rather on the capacity to sustain sinus rhythm. The cardioversion of unselected atrial fibrillation patients results in consistently high rates of relapse into atrial fibrillation and at 1 year 40 to 80% or more patients successfully cardioverted will have reverted to atrial fibrillation [18][19][20][21][22][23][24][25] .…”

Section: Discussionmentioning

confidence: 99%

“…The cardioversion of unselected atrial fibrillation patients results in consistently high rates of relapse into atrial fibrillation and at 1 year 40 to 80% or more patients successfully cardioverted will have reverted to atrial fibrillation [18][19][20][21][22][23][24][25] . A number of authors have tried to establish those characteristics which identify patients at high risk of relapse following cardioversion [22,24,26] and have suggested the duration of atrial fibrillation prior to cardioversion is a critical predictor of outcome.…”

Section: Discussionmentioning

confidence: 99%

Is there a place for the late cardioversion of atrial fibrillation?. A long-term follow-up study of patients with post-thyrotoxic atrial fibrillation

Nakazawa

Lythall²,

Noh³

et al. 2000

European Heart Journal

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Aims As atrial fibrillation is associated with significant mortality and morbidity, restoration of sinus rhythm is desirable. However, previous data suggest that cardioversion should be restricted to patients in whom the fibrillation is of limited duration (<1-2 years) because of high relapse rates. It may be the frequent association with cardiac disease, rather than the duration of fibrillation itself, which determined the high relapse of earlier studies. The aim of this study was to investigate rates of cardioversion, maintenance of sinus rhythm and predictors of subsequent relapse in a homogeneous group of patients without evidence of any co-existent cardiac disease. Methods and ResultsWe report on a retrospective series of 106 patients with thyrotoxicosis-induced fibrillation but no other heart disease: 87% had been in atrial fibrillation for >12 months (median duration 28·5, interquartile range 15-47 months). Cardioversion was attempted using disopyramide and then electric shock. Ninety-eight patients were successfully cardioverted: at late follow-up, 80·6 37 months (mean SD), 67% were in sinus rhythm. ConclusionAlthough a relationship between the duration of fibrillation and maintenance of sinus rhythm was found, the high proportion remaining in sinus rhythm, compared with other series, suggests this influence may be less important than the presence or absence of structural heart disease.

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“…These include quinidine, procainamide, lignocaine, and propranolol. Quinidine is not now widely used because of its reported toxic side-effects (Oram and Davies, 1964;Brenner et al, 1964). The other drugs are used mainly for ventricular arrhythmias.…”

Section: Introductionmentioning

confidence: 99%

Treatment of cardiac arrhythmias with phenytoin

Eddy¹,

Singh²

1969

BMJ

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Further Experience of Electrical Conversion of Atrial Fibrillation to Sinus Rhythm: Analysis of 100 Patients

Cited by 107 publications

References 18 publications

Long-Term Results of Conversion of Atrial Fibrillation by Direct Current Countershock

Long-Term Results of Conversion of Atrial Fibrillation by Direct Current Countershock

Is there a place for the late cardioversion of atrial fibrillation?. A long-term follow-up study of patients with post-thyrotoxic atrial fibrillation

Treatment of cardiac arrhythmias with phenytoin

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