Cardioversion of atrial fibrillation and atrial flutter revisited: current evidence and practical guidance for a common procedure

被引:78
作者
Brandes, Axel [1 ,2 ]
Crijns, Harry J. G. M. [3 ]
Rienstra, Michiel [4 ]
Kirchhof, Paulus [5 ]
Grove, Erik L. [6 ,7 ]
Pedersen, Kenneth Bruun [1 ]
Van Gelder, Isabelle C. [1 ,2 ,4 ]
机构
[1] Odense Univ Hosp, Dept Cardiol, JB Winslows Vej 4, DK-5000 Odense C, Denmark
[2] Univ Southern Denmark, Fac Hlth Sci, Dept Clin Res, Odense, Denmark
[3] Maastricht Univ, Med Ctr, Dept Cardiol, Cardiovasc Res Inst Maastricht CARIM, Maastricht, Netherlands
[4] Univ Groningen, Univ Med Ctr, Dept Cardiol, Groningen, Netherlands
[5] Univ Birmingham, UHB & Sandwell & West Birmingham Hosp, Coll Med & Dent Sci, Inst Cardiovasc Sci,NHS Trusts, Birmingham, W Midlands, England
[6] Aarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark
[7] Aarhus Univ, Fac Hlth, Dept Clin Med, Aarhus, Denmark
来源
EUROPACE | 2020年 / 22卷 / 08期
关键词
Atrial fibrillation; Atrial flutter; Electrical cardioversion; Pharmacological cardioversion; Anticoagulation; Thromboembolism; VITAMIN-K ANTAGONIST; MULTIDETECTOR COMPUTED-TOMOGRAPHY; CURRENT ELECTRICAL CARDIOVERSION; ANTIARRHYTHMIC-DRUG TREATMENT; DIRECT ORAL ANTICOAGULANTS; APPENDAGE FILLING DEFECTS; TISSUE DOPPLER DYNAMICS; MAINTAIN SINUS RHYTHM; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; EXTERNAL CARDIOVERSION;
D O I
10.1093/europace/euaa057
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardioversion is widely used in patients with atrial fibrillation (AF) and atrial flutter when a rhythm control strategy is pursued. We sought to summarize the current evidence on this important area of clinical management of patients with AF including electrical and pharmacological cardioversion, pert-procedural anticoagulation and thromboembolic complications, success rate, and risk factors for recurrence to give practical guidance.
引用
收藏
页码:1149 / 1161
页数:13
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