What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?

Background: Aftershock delivery and direct current DC-cardioversion of atrial fibrillation may be immediate or delayed. Objective: To characterize the immediate or delayed reversion of atrial fibrillation. Methods: The study was conducted at Alhassani Heart Centre from October 2018 to February...

Full description

Saved in:
Bibliographic Details
Main Authors: Amar T. AL-Hamdi, Azad J. Ali, Becker S. Alzand
Format: Article
Language:English
Published: College of Medicine University of Baghdad 2024-12-01
Series:مجلة كلية الطب
Subjects:
Online Access:https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2010
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832594698750918656
author Amar T. AL-Hamdi
Azad J. Ali
Becker S. Alzand
author_facet Amar T. AL-Hamdi
Azad J. Ali
Becker S. Alzand
author_sort Amar T. AL-Hamdi
collection DOAJ
description Background: Aftershock delivery and direct current DC-cardioversion of atrial fibrillation may be immediate or delayed. Objective: To characterize the immediate or delayed reversion of atrial fibrillation. Methods: The study was conducted at Alhassani Heart Centre from October 2018 to February 2022. Patients diagnosed with persistent atrial fibrillation and who reverted to sinus rhythm after DC-Cardioversion were included in this case series study. Some patients showed immediate conversion to sinus rhythm while others showed delayed conversion after shock delivery. The duration of the atrial fibrillation, the ventricular rate range before the intervention, the preceding drug therapy, patient weight, and left atrial size were measured to illuminate the factors that affect the reversion format. Results: From a total of 86 patients with persistent atrial fibrillation treated with DC-cardioversion, 77 (89%) patients reverted into sinus rhythm and were included in the study. Fifty patients reverted immediately, and 27 patients reverted late. The mean ventricular rate was higher in the immediate group (138 ± 22) compared to 75 ± 18 in the delayed group. The post-conversion appearance of atrial premature beats was more in the delayed group. The left atrial size was slightly larger in the delayed group. The role of taking a preceding drug was not significant in both groups. Conclusion: The pattern of reversion in atrial fibrillation patients undergoing DC shock is governed by the ventricular rate before the reversion and the appearance of atrial premature complexes after DC shock.
format Article
id doaj-art-764169515ea04f789c5d9999f0a6a578
institution Kabale University
issn 0041-9419
2410-8057
language English
publishDate 2024-12-01
publisher College of Medicine University of Baghdad
record_format Article
series مجلة كلية الطب
spelling doaj-art-764169515ea04f789c5d9999f0a6a5782025-01-19T12:24:10ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572024-12-0166410.32007/jfacmedbaghdad.6642010What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?Amar T. AL-Hamdi0https://orcid.org/0009-0009-1304-8808Azad J. Ali1Becker S. Alzand2https://orcid.org/0000-0002-2642-793XSulaymaniyah Teaching Hospital, Sulaimanya, KRG, IraqSulaymaniyah Teaching Hospital, Sulaimanya, KRG, IraqAZ Glorieux, Glaorieuxlaan, Ronse, Belgium Background: Aftershock delivery and direct current DC-cardioversion of atrial fibrillation may be immediate or delayed. Objective: To characterize the immediate or delayed reversion of atrial fibrillation. Methods: The study was conducted at Alhassani Heart Centre from October 2018 to February 2022. Patients diagnosed with persistent atrial fibrillation and who reverted to sinus rhythm after DC-Cardioversion were included in this case series study. Some patients showed immediate conversion to sinus rhythm while others showed delayed conversion after shock delivery. The duration of the atrial fibrillation, the ventricular rate range before the intervention, the preceding drug therapy, patient weight, and left atrial size were measured to illuminate the factors that affect the reversion format. Results: From a total of 86 patients with persistent atrial fibrillation treated with DC-cardioversion, 77 (89%) patients reverted into sinus rhythm and were included in the study. Fifty patients reverted immediately, and 27 patients reverted late. The mean ventricular rate was higher in the immediate group (138 ± 22) compared to 75 ± 18 in the delayed group. The post-conversion appearance of atrial premature beats was more in the delayed group. The left atrial size was slightly larger in the delayed group. The role of taking a preceding drug was not significant in both groups. Conclusion: The pattern of reversion in atrial fibrillation patients undergoing DC shock is governed by the ventricular rate before the reversion and the appearance of atrial premature complexes after DC shock. https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2010Atrial fibrillationCardioversionDC shockDelayedImmediate
spellingShingle Amar T. AL-Hamdi
Azad J. Ali
Becker S. Alzand
What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?
مجلة كلية الطب
Atrial fibrillation
Cardioversion
DC shock
Delayed
Immediate
title What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?
title_full What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?
title_fullStr What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?
title_full_unstemmed What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?
title_short What Governs Immediate or Delayed Cardioversion of Atrial Fibrillation by Direct Current Shock?
title_sort what governs immediate or delayed cardioversion of atrial fibrillation by direct current shock
topic Atrial fibrillation
Cardioversion
DC shock
Delayed
Immediate
url https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/2010
work_keys_str_mv AT amartalhamdi whatgovernsimmediateordelayedcardioversionofatrialfibrillationbydirectcurrentshock
AT azadjali whatgovernsimmediateordelayedcardioversionofatrialfibrillationbydirectcurrentshock
AT beckersalzand whatgovernsimmediateordelayedcardioversionofatrialfibrillationbydirectcurrentshock