Safe Cardioversion for Patients with Acute-Onset Atrial Fibrillation and Flutter: Practical Concerns and Considerations

Publication date: Available online 13 June 2019Source: Canadian Journal of CardiologyAuthor(s): Ian G. Stiell, M. Sean McMurtry, Andrew McRae, Ratika Parkash, Frank Scheuermeyer, Clare L. Atzema, Allan SkanesAbstractThis commentary discusses concerns raised by Canadian emergency physicians regarding Recommendations 2 and 6 from the recent CCS 2018 Update for atrial fibrillation. These recommendations narrow the window for safe cardioversion and suggest four weeks of anticoagulation for all patients undergoing urgent cardioversion regardless of their CHADS-65 status. We discuss the implications of GRADE weak recommendations based upon low-quality evidence.
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research

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Source: Journal of Interventional Cardiac Electrophysiology - Category: Cardiology Source Type: research
ConclusionsAssessment of transmural mitral isthmus block can be challenging. Placement of an endocardial mapping catheter around the mitral annulus can provide a precise assessment of conduction across the mitral isthmus.This article is protected by copyright. All rights reserved.
Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: COMPLEX ABLATION Source Type: research
ConclusionsIn patients with AF undergoing PCI at lower ischemic risk and higher bleeding risk, 1 month of TT seems safe and efficacious. Further studies are warranted in patients at high ischemic risk.
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Alcohol withdrawal syndrome (AWS) has been associated with significant medical complications and length of stay. Cardiovascular effects from AWS include a physiologic tachycardia and hypertensive response. While atrial fibrillation (AF) is one of the most common arrhythmias, the impact of a known history of AF on AWS is unclear. The purpose of our study is to assess the impact of history of AF on clinical outcomes, cost and length of stay on AWS. The Nationwide Inpatient Sample was used to identify patients aged 18 years or older who underwent AWS with or without AF using the International Classification of Disease 9 Clini...
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Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: ORIGINAL ‐ CLINICAL Source Type: research
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Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: ORIGINAL ‐ CLINICAL Source Type: research
This article is protected by copyright. All rights reserved.
Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
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