A Cardioversion and Renal Dysfunction Cascade: Cardioversion for Atrial Fibrillation, Acute Kidney Injury, and Recurrence of Atrial Fibrillation

Asemota, Iriagbonse; Igwilo, Rita; Nwaichi, Chineme; Mbachi, Chimezie; Paintsil, Isaac

doi:10.7759/cureus.7672

Cited by 1 publication

(1 citation statement)

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“…There are few adverse reactions linked to ECV however, renal dysfunction complicating ECV was communicated in up to 17% of patients and this could have a negative outcome impact in severely ill patients. 24 , 25 Second, despite the immediate success, there is a high rate of immediate relapse AF (IRAF). Not only the IRAF rate is high but also maintaining SR in such patients is problematic because of safety and efficacy concerns linked to the AAD.…”

Section: Rate and Rhythm Strategy In Acute Situationsmentioning

confidence: 99%

Acute rate control in atrial fibrillation: an urgent need for the clinician

Dan

Ivănescu

et al. 2022

European Heart Journal Supplements

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Rate and rhythm control are still considered equivalent strategies for symptom control using the Atrial Fibrillation Better Care algorithm recommended by the recent atrial fibrillation guideline. In acute situations or critically ill patients, a personalized approach should be used for rapid rhythm or rate control. Even though electrical cardioversion is generally indicated in haemodynamically unstable patients or for rapid effective rhythm control in critically ill patients, this is not always possible due to the high percentage of failure or relapses in such patients. Rate control remains the background therapy for all these patients, and often rapid rate control is mandatory. Short and rapid-onset-acting beta-blockers are the most suitable drugs for acute rate control. Esmolol was the classical example; however, landiolol a newer very selective beta-blocker, recently included in the European atrial fibrillation guideline, has a more favourable pharmacokinetic and pharmacodynamic profile with less haemodynamic interference and is better appropriate for critically ill patients.

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Section: Rate and Rhythm Strategy In Acute Situationsmentioning

confidence: 99%