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Association between transthoracic impedance and electrical cardioversion success with biphasic defibrillators: An analysis of 1055 shocks for atrial fibrillation and flutter.


ABSTRACT: BACKGROUND:The relevance of transthoracic impedance (TTI) to electrical cardioversion (ECV) success for atrial tachyarrhythmias when using biphasic waveform defibrillators is unknown. HYPOTHESIS:TTI is predictive of ECV success with contemporary defibrillators. METHODS:De-identified data stored in biphasic defibrillator memory cards from ECV attempts for atrial fibrillation (AF) or atrial flutter (AFL) over a 2-year period at our center were evaluated. ECV success, defined as arrhythmia termination and???1 sinus beat, was adjudicated by 2 blinded cardiac electrophysiologists. The association between TTI and ECV success was assessed via Cochrane-Armitage trend and Spearman rank correlation tests, as well as simple and multivariable logistic regression. The influence of TTI on the number of shocks and on cumulative energy delivered per patient was also examined. RESULTS:703 patients (593 with AF, 110 with AFL) receiving 1055 shocks were included. Last shock success was achieved in 88.0% and 98.2% of patients with AF and AFL, respectively. In patients with AF, TTI was positively associated with last shock failure (Ptrend ?=0.019), the need for multiple shocks (Ptrend ?<0.001), and cumulative energy delivered (??=?0.348; P?

SUBMITTER: Sadek MM 

PROVIDER: S-EPMC6489922 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Association between transthoracic impedance and electrical cardioversion success with biphasic defibrillators: An analysis of 1055 shocks for atrial fibrillation and flutter.

Sadek Mouhannad M MM   Chaugai Varsha V   Cleland Mark J MJ   Zakutney Timothy J TJ   Birnie David H DH   Ramirez F Daniel FD  

Clinical cardiology 20180511 5


<h4>Background</h4>The relevance of transthoracic impedance (TTI) to electrical cardioversion (ECV) success for atrial tachyarrhythmias when using biphasic waveform defibrillators is unknown.<h4>Hypothesis</h4>TTI is predictive of ECV success with contemporary defibrillators.<h4>Methods</h4>De-identified data stored in biphasic defibrillator memory cards from ECV attempts for atrial fibrillation (AF) or atrial flutter (AFL) over a 2-year period at our center were evaluated. ECV success, defined  ...[more]

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