Use of Atrial Defibrillators to Convert Atrial Fibrillation at Home:

Atrial Fibrillation Therapy in Patients with a CRT Defibrillator with Wireless Telemetry

“…Its adoption has been slow in spite of data suggesting a fairly good acceptance by patients. Our data are similar to the data of others that suggest that only 30% of patients had atrial defibrillation thresholds that were greater than 12 J 15–17 …”

“…Our data are similar to the data of others that suggest that only 30% of patients had atrial defibrillation thresholds that were greater than 12 J. [15][16][17] Limitations This is principally a study of induced AF episodes. While there were a significant number of spontaneous episodes, the number of those episodes was insufficient to ensure that there are no differences in efficacy between induced and spontaneous AF.…”

“…Atrial shock therapy with or without sedation has been demonstrated to be very efficacious and surprisingly well tolerated in patients with single‐chamber, dual‐chamber, or atrial defibrillators 15–18 . However, ICD‐based atrial shock therapy has not been extensively studied in patients with CRT defibrillators 12,19–21 …”

“…Atrial shock therapy with or without sedation has been demonstrated to be very efficacious and surprisingly well tolerated in patients with single-chamber, dual-chamber, or atrial defibrillators. [15][16][17][18] However, ICD-based atrial shock therapy has not been extensively studied in patients with CRT defibrillators. 12,[19][20][21] This study therefore was performed to analyze the safety of the Medtronic Concerto CRT-D system (Medtronic, Inc., Minneapolis, MN, USA) and the efficacy of the atrial shock therapy in patients with an indication for a CRT-D. We defined efficacy as the percentage of acute conversion of atrial fibrillation.…”