Cardioversion of acute atrial fibrillation in the short observation unit: comparison of a protocol focused on electrical cardioversion with simple antiarrhythmic treatment

Cristoni, Lorenzo; Tampieri, Andrea; Mucci, Fabrizio; Iannone, Primiano; Venturi, Alessandro; Cavazza, Mario; Lenzi, Tiziano

doi:10.1136/emj.2009.083196

Cited by 37 publications

(23 citation statements)

References 22 publications

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“…Effectiveness of ECV in our registry was comparable to that reported in the literature (78-97%) [7][8][9][10]. Although some data suggest that in AF, 200 J energy should be started, especially in non--paroxysmal AF [11], we show that about 160 J energy may also be effective.…”

Section: Discussionsupporting

confidence: 87%

Cardioversion of Atrial Fibrillation (RHYTHM-AF) International Registry in Poland

Kiliszek

Opolski

Włodarczyk³

et al. 2014

Cardiol J.

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Section: Discussionsupporting

confidence: 87%

Cardioversion of Atrial Fibrillation (RHYTHM-AF) International Registry in Poland

Kiliszek

Opolski

Włodarczyk³

et al. 2014

Cardiol J.

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“…16) [607][608][609]. W krótkoterminowej perspektywie kardiowersja elektryczna przywraca rytm zatokowy szybciej i bardziej skutecznie niż kardiowersja farmakologiczna oraz wiąże się z krótszą hospitalizacją [609][610][611][612][613]. Kardiowersja farmakologiczna nie wymaga natomiast sedacji ani pozostawiania pacjenta na czczo (ryc.…”

Section: Leki Antyarytmiczne W Celu Doraźnego Przywracania Rytmu Zatounclassified

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

2,380

4,206

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“…AF pathways have been tested in mostly academic settings in the United States and Canada and have met primary safety endpoints. These pathways include strategies for early rhythm control, initiation of rate control regimens, and anticoagulation for stroke prophylaxis initiated in the ED . Many of these services can be delivered in the ED or in an observation unit, decreasing the use of inpatient hospital services.…”

mentioning

confidence: 99%

Creation and Implementation of an Outpatient Pathway for Atrial Fibrillation in the Emergency Department Setting: Results of an Expert Panel

Baugh

Clark

Wilson

et al. 2018

Academic Emergency Medicine

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Atrial fibrillation and flutter (AF) is a common condition among emergency department (ED) patients in the United States. Traditionally, ED care for primary complaints related to AF focus on rate control, and patients are often admitted to an inpatient setting for further care. Inpatient care may include further telemetry monitoring and diagnostic testing, rhythm control, a search for identification of AF etiology, and stroke prophylaxis. However, many patients are eligible for safe and effective outpatient management pathways. They are widely used in Canada and other countries but less widely adopted in the United States. In this project, we convened an expert panel to create a practical framework for the process of creating, implementing, and maintaining an outpatient AF pathway for emergency physicians to assess and treat AF patients, safely reduce hospitalization rates, ensure appropriate stroke prophylaxis, and effectively transition patients to longitudinal outpatient treatment settings from the ED and/or observation unit. To support local pathway creation, the panel also reached agreement on a protocol development plan, a sample pathway, consensus recommendations for pathway components, sample pathway metrics, and a structured literature review framework using a modified Delphi technique by a technical expert panel of emergency medicine, cardiology, and other stakeholder groups.

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Cardioversion of acute atrial fibrillation in the short observation unit: comparison of a protocol focused on electrical cardioversion with simple antiarrhythmic treatment

Abstract: Electrical cardioversion of recent-onset AF in the SOU is safe, effective and reduces hospitalisations. Further studies are needed to identify the most cost-effective strategy for the management of AF patients in emergency settings.

Cited by 37 publications

References 22 publications

Cardioversion of Atrial Fibrillation (RHYTHM-AF) International Registry in Poland

Cardioversion of Atrial Fibrillation (RHYTHM-AF) International Registry in Poland

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Creation and Implementation of an Outpatient Pathway for Atrial Fibrillation in the Emergency Department Setting: Results of an Expert Panel

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