External versus internal cardioversion for atrial fibrillation: a meta-analysis of randomized controlled trials
| Autor: | Julian Robles, Gaurav Aggarwal, Mary Abed, Saurabh Aggarwal, Venkata M. Alla, Brandon Michael Henry, Dhrubajyoti Bandyopadhyay, Mahesh Anantha-Narayanan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Electric Countershock Subgroup analysis Rhythm control 030204 cardiovascular system & hematology Cardioversion law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Internal cardioversion law Physiology (medical) Internal medicine Atrial Fibrillation medicine Humans 030212 general & internal medicine Electrodes Randomized Controlled Trials as Topic business.industry Atrial fibrillation Implantable cardioverter-defibrillator medicine.disease Treatment Outcome Meta-analysis Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing. 61(3) |
| ISSN: | 1572-8595 |
| Popis: | Patients with atrial fibrillation (AF) often require rhythm control strategy for amelioration of symptoms. It is unclear if there is any difference between external cardioversion (ECV) and internal cardioversion (ICV) for successful conversion of AF to normal sinus rhythm. We performed a meta-analysis of published randomized controlled trials (RCTs) evaluating success of cardioversion using ECV versus ICV. In the pooled analysis of 5 RCTS, there was no difference in success of cardioversion using ECV versus ICV (OR 1.69, 95% CI 0.24–11.83, p = 0.6). In the subgroup analysis, there was no difference between ECV and direct electrode ICV (OR 0.41, 95% CI 0.09–1.83, p = 0.24). However, ECV was significantly better compared with ICV using ICD (OR 11.97, 95% CI 1.87–76.73, p = 0.009). There was no difference between ECV versus ICV in effectiveness for termination of AF. Larger well-designed randomized controlled trials are needed to confirm our findings. |
| Databáze: | OpenAIRE |
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