Restricted or Expanded Indications for Low-Energy Internal Cardioversion?
Atrial fibrillation is a very common and potentially dangerous cardiac arrhythmia [1–4]. A 5-fold embolic risk in the non-rheumatic atrial fibrillation and 18-fold risk in the rheumatic group has been ascertained  and full anticoagulation is frequently recommended in patients with atrial fibrillation [6–8]. Furthermore the loss of atrial contraction can cause a significant hemodynamic deterioration [9,10]. Restoration of sinus rhythm seems therefore to be advisable.
KeywordsSinus Rhythm Coronary Sinus Persistent Atrial Fibrillation Rheumatic Group Restore Sinus Rhythm
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- 1.Boysen G, Nyboe J, Appleyard M (1988) Stroke incidence and risk factors for stroke in Copenhagen, Denmark. Stroke 19: 1345–1353Google Scholar
- 5.Wolf PA, Dawber TR, Thomas HE Jr, Kannel WB (1978) Epidemiologic assessment of chronic atrial fibrillation and the risk of stroke: The Framingham study. Neurology 28: 973–977Google Scholar
- 6.Ezekowitz MD, Bridgers SL, James KE, Carliner LH, Coiling CL, Gornick CC, Krause-Steinrauf H, Kurtezke JF, Nazarian SM, Radford MJ, Rickles FR, Shabetai R, Deykin D (1992) Warfarin in the prevention of stroke associated with nonrheumatic atrial fibrillation: N Engl J Med 327: 1406–1412PubMedGoogle Scholar
- 18.Irnich W (1995) Optimal truncation of defibrillation pulses. PACE 18 ( Pt. I): 673–688Google Scholar