EDITORIALS
Getting the BEST out of DCCV
South West Cardiothoracic Centre, Derriford Hospital, Plymouth, UK
Correspondence to:
Dr G Haywood, South West Cardiothoracic Centre, Derriford Hospital, Plymouth PL18 9RY, UK; guy.haywood@phnt.swest.nhs.uk
| The first 150 words of the full text of this article appear below. |
Direct current cardioversion (DCCV) as a treatment for persistent atrial fibrillation (AF) was first introduced in the 1960s.1 It has become a standard medical procedure performed in almost all hospitals with an acute medical unit in the UK. Much has changed in the management of AF in recent years and with the explosion of interest in AF ablation and the introduction of the NICE guidelines on AF management last year (http://guidance.nice.org.uk/CG36 (accessed 16 April 2008)) now is an appropriate time to ask if we are using the technique to best effect.
Several series following the results from unselected patients undergoing DCCV for AF have shown that sinus rhythm (SR) is achieved at the time of the procedure in about 85% of patients, but that at the end of 1 year, only 30–40% of these will still be in SR, the remainder having reverted to AF; yet, in those patients
Relevant Article
- Biphasic energy selection for transthoracic cardioversion of atrial fibrillation. The BEST AF Trial
- B M Glover, S J Walsh, C J McCann, M J Moore, G Manoharan, G W N Dalzell, A McAllister, B McClements, D J McEneaney, T G Trouton, T P Mathew, and A A J Adgey
Heart 2008 94: 884-887.[Abstract] [Full Text] [PDF]
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