Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to Cardiologists

Atrial fibrillation is a common clinical disease especially in the elderly and in patients with organic heart disease. Electrical cardioversion is the first choice therapeutic approach for patients in which sinus rhythm could improve the quality of life and where the maintenance of sinus rhythm is...

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Main Authors: Luca Santini, Giovanni B. Forleo, Francesco Romeo
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.4061/2011/983937
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author Luca Santini
Giovanni B. Forleo
Francesco Romeo
author_facet Luca Santini
Giovanni B. Forleo
Francesco Romeo
author_sort Luca Santini
collection DOAJ
description Atrial fibrillation is a common clinical disease especially in the elderly and in patients with organic heart disease. Electrical cardioversion is the first choice therapeutic approach for patients in which sinus rhythm could improve the quality of life and where the maintenance of sinus rhythm is considered likely. There are different techniques to perform an electrical cardioversion, each with specific indications, advantages, and limitations. The method most frequently used to restore sinus rhythm is external direct current cardioversion; however, this technique has some disadvantages, since it requires a high energy and usually general anesthesia. Esophageal cardioversion is an alternative method to obtain restoration of sinus rhythm, warranting acute and long-term results absolutely comparable with those obtained by the conventional transthoracic technique, especially in obese and COPD patients with high thoracic impedance for whom the standard technique may be less effective.
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series Cardiology Research and Practice
spelling doaj-art-e353292a9c0947fca0a23309133731712025-02-03T06:08:47ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/983937983937Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to CardiologistsLuca Santini0Giovanni B. Forleo1Francesco Romeo2Division of Cardiology, Internal Medicine Department, University of Rome “Tor Vergata,” 00133 Roma, ItalyDivision of Cardiology, Internal Medicine Department, University of Rome “Tor Vergata,” 00133 Roma, ItalyDivision of Cardiology, Internal Medicine Department, University of Rome “Tor Vergata,” 00133 Roma, ItalyAtrial fibrillation is a common clinical disease especially in the elderly and in patients with organic heart disease. Electrical cardioversion is the first choice therapeutic approach for patients in which sinus rhythm could improve the quality of life and where the maintenance of sinus rhythm is considered likely. There are different techniques to perform an electrical cardioversion, each with specific indications, advantages, and limitations. The method most frequently used to restore sinus rhythm is external direct current cardioversion; however, this technique has some disadvantages, since it requires a high energy and usually general anesthesia. Esophageal cardioversion is an alternative method to obtain restoration of sinus rhythm, warranting acute and long-term results absolutely comparable with those obtained by the conventional transthoracic technique, especially in obese and COPD patients with high thoracic impedance for whom the standard technique may be less effective.http://dx.doi.org/10.4061/2011/983937
spellingShingle Luca Santini
Giovanni B. Forleo
Francesco Romeo
Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to Cardiologists
Cardiology Research and Practice
title Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to Cardiologists
title_full Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to Cardiologists
title_fullStr Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to Cardiologists
title_full_unstemmed Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to Cardiologists
title_short Esophageal Electrical Cardioversion of Atrial Fibrillation: When Esophagus Gives a Help to Cardiologists
title_sort esophageal electrical cardioversion of atrial fibrillation when esophagus gives a help to cardiologists
url http://dx.doi.org/10.4061/2011/983937
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