[Direct current cardioversion in Abidjan: report of a ten-year practice in Institute of Cardiology of Abidjan, Ivory Coast].
| Autor: | Coulibaly I; Service de Médecine de l'Institut de Cardiologie d'Abidjan, Abidjan, Côte d'Ivoire. iklo_coulibaly@hotmail.com, Konin KC, Adoubi A, Kouame JK, Traore F, Bamba-Kamagaté D, Aka N'guetta R, N'cho-Motto MP, Ouattara M, Anzouan-Kacou JB, Ake-Traboulsy E |
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| Jazyk: | francouzština |
| Zdroj: | Therapie [Therapie] 2011 Nov-Dec; Vol. 66 (6), pp. 493-7. Date of Electronic Publication: 2011 Dec 21. |
| DOI: | 10.2515/therapie/2011068 |
| Abstrakt: | Unlabelled: Direct current cardioversion is effective in arrhythmias' termination. Few is known about its use in our practice. This work aims to report its outcomes over a ten-year period in Abidjan. Method: One thousand, three hundred and ninety one charts of arrhythmic patients were reviewed. Results: Cardioversion was attempted in 102 patients. One hundred and eighty one shocks were delivered with a mean energy of 262, 1 joules. Success occurred in 84 patients (82,3%). Cardioversion failed in 18 patients mostly in atrial fibrillation. Eight serious complications (7,8%) occurred including 1 sinus node dysfunction, 1 pulmonary oedema, 1 metrorrhagia, 2 stroke, 1 pulmonary embolism. Two patients with ventricular tachycardia died of end-stage heart failure and aftermath of a mitral valve surgery. Conclusion: Direct current cardioversion is effective and safe in our practice. Complications are predominantly due to the medical environment such as antiarrhythmic drugs use or clinical conditions. (© 2011 Société Française de Pharmacologie et de Thérapeutique.) |
| Databáze: | MEDLINE |
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