Effectiveness and safety of electrical cardioversion for acute-onset atrial fibrillation in the emergency department: a real-world 10-year single center experience.

摘要: OBJECTIVE Despite limited evidence, electrical cardioversion of acute-onset atrial fibrillation (AAF) is widely performed in the emergency department (ED). The aim this study was to describe effectiveness and safety AAF by physicians ED. METHODS All episodes electrically cardioverted ED were retrieved from database for a 10-year period. Most patients not already receiving anticoagulants given enoxaparin before procedure (259/419). Procedural complications recorded, followed-up 30 days cardiovascular hemorrhagic complications. RESULTS Four hundred nineteen eligible cases identified; men represented 69%, mean age 61±13 years. effective 403 (96.2%; 95.4% women, 96.5% men), with considerable differences respect patients, being 100% aged 18 39 only 68.8% those >80 New visits (33/419) identified within (31 due fibrillation/atrial flutter recurrence, 1 iatrogenic hypokalemia, hypertensive emergency). No strokes, major bleeding, life-threatening arrhythmias or peripheral thromboembolism recorded. Nine small mild skin burns observed. CONCLUSION Electrical an safe vast majority albeit less It appears reasonable avoid anticoagulation low-risk administer peri-procedural heparin all remaining patients. Long-term should be planned on individual basis, after assessment thromboembolic risk.