Interv Akut Kardiol. 2011;10(1):24-29

Electrical cardioversion and defibrillation

Pavel Marcián1, Bronislav Klementa2, Olga Klementová2
1 Kardiochirurgická klinika, LF UP a FN Olomouc
2 Klinika anesteziologie, resuscitace a intenzivní péče, LF UP a FN Olomouc

Electrical cardioversion and defibrillation are procedures sharing, to a great degree, the method of performance and the technique by

which to restore sinus rhythm. They mainly differ in the time period within which the procedure must be carried out. While electrical

cardioversion is typically a planned procedure (often in terms of weeks), defibrillation is strictly an emergency procedure which must

be performed within minutes of the onset of malignant arrhythmia. Both methods have found a firm place in intensive care of patients

with various types of tachyarrhythmias and are an integral part of guidelines on cardiopulmonary resuscitation.

Keywords: electrical cardioversion, defibrillation, resuscitation, monophasic shock, biphasic shock

Published: March 12, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Marcián P, Klementa B, Klementová O. Electrical cardioversion and defibrillation. Interv Akut Kardiol. 2011;10(1):24-29.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Peleska B. Cardiac Arrhythmias Following Condenser Discharges and Their Dependence Upon Strength of Current and Phase of Cardiac Cycle. Circ Res 1963; 13: 21-32. Go to original source... Go to PubMed...
    2. Peleska B. Optimal parameters of electrical impulses for defibrillation by condenser discharges. Circ Res 1966; 18: 10-17. Go to original source... Go to PubMed...
    3. Bytešník J. Doporučené postupy pro diagnostiku a léčbu komorových arytmií. Supplementum Cor Vasa 2005; 47: 41-57.
    4. Handl Z. Externí transtorakální defibrilace a kardiostimulace: teorie a praxe. 1. vydání. Národní centrum ošetřovatelství a nelékařských zdravotnických oborů 2007: 51 s.
    5. Camm AJ, Kirchhof P, Lip GY, et al. Guidelines for the management of atrial fibrillation: The Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J 2010.
    6. Ewy GA. The optimal technique for electrical cardioversion of atrial fibrillation. Clin Cardiol 1994; 17: 79-84. Go to original source... Go to PubMed...
    7. Van Gelder IC, Crijns HJ, Van Gilst WH, Verwer R, Lie KI. Prediction of uneventful cardioversion and maintenance of sinus rhythm from direct-current electrical cardioversion of chronic atrial fibrillation and flutter. Am J Cardiol 1991; 68: 41-46. Go to original source... Go to PubMed...
    8. Mittal S, Ayati S, Stein KM, Schwartzman D, Cavlovich D, Tchou PJ, Markowitz SM, Slotwiner DJ, Scheiner MA, Lerman BB. Transthoracic cardioversion of atrial fibrillation: comparison of rectilinear biphasic versus damped sine wave monophasic shocks. Circulation 2000; 101: 1282-1287. Go to original source... Go to PubMed...
    9. Lundstrom T, Ryden L. Chronic atrial fibrillation. Longterm results of direct current conversion. Acta Med Scand 1988; 223: 53-59. Go to original source... Go to PubMed...
    10. Fuster V, Ryden LE, Cannom DS, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: full text: a report of the American College of Cardiology/ American Heart Association Task Force on practice guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 guidelines for the management of patients with atrial fibrillation) developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. Europace 2006; 8: 651-745. Go to original source...
    11. Deakin CD, Nolan JP, Sunde K, Koster RW. European Resuscitation Council Guidelines for Resuscitation 2010. Section 3: Electrical therapies: Automated external defibrillators, defibrillation, cardioversion and pacing. Resuscitation, 2010. Go to original source...
    12. Ricard P, Levy S, Boccara G, Lakhal E, Bardy G. External cardioversion of atrial fibrillation: comparison of biphasic vs monophasic waveform shocks. Europace 2001; 3: 96-99. Go to original source... Go to PubMed...
    13. Marcián P, Lukl J, Zapletalová J. Úspěšnost externí elektrické kardioverze bifázickým rektilineárním výbojem u pacientů s fibrilací síní, vliv impedance hrudníku na akutní efektivitu kardioverze. Interv Akut Kardiol 2006; 5: 67-72.
    14. Huang J, KenKnight BH, Rollins DL, Smith WM, Ideker RE. Ventricular defibrillation with triphasic waveforms. Circulation 2000; 101: 1324-1328. Go to original source... Go to PubMed...
    15. Zhang Y, Ramabadran RS, Boddicker KA, Bawaney I, Davies LR, Zimmerman MB, Wuthrich S, Jones JL, Kerber RE. Triphasic waveforms are superior to biphasic waveforms for transthoracic defibrillation: experimental studies. J Am Coll Cardiol 2003; 42: 568-575. Go to original source... Go to PubMed...
    16. Zhang Y, Rhee B, Davies LR, Zimmerman MB, Snyder D, Jones JL, Kerber RE. Quadriphasic waveforms are superior to triphasic waveforms for transthoracic defibrillation in a cardiac arrest swine model with high impedance. Resuscitation 2006; 68: 251-258. Go to original source... Go to PubMed...
    17. Lukl J. Fibrilace síní. 1. vydání. Grada Publishing, 2009: 272 s.
    18. Brazdzionyte J, Babarskiene RM, Stanaitiene G. Anteriorposterior versus anterior-lateral electrode position for biphasic cardioversion of atrial fibrillation. Medicina (Kaunas) 2006; 42: 994-998. Go to PubMed...
    19. Walsh SJ, McCarty D, McClelland AJ, et al. Impedance compensated biphasic waveforms for transthoracic cardioversion of atrial fibrillation: a multi-centre comparison of antero-apical and antero-posterior pad positions. Eur Heart J 2005; 26: 1298-1302. Go to original source... Go to PubMed...
    20. Kirchhof P, Eckardt L, Loh P, et al. Anterior-posterior versus anterior-lateral electrode positions for external cardioversion of atrial fibrillation: a randomised trial. Lancet 2002; 360: 1275-1279. Go to original source... Go to PubMed...
    21. Mathew TP, Moore A, McIntyre M, et al. Randomised comparison of electrode positions for cardioversion of atrial fibrillation. Heart 1999; 81: 576-579. Go to original source... Go to PubMed...
    22. Alp NJ, Rahman S, Bell JA, Shahi M. Randomised comparison of antero-lateral versus antero-posterior paddle positions for DC cardioversion of persistent atrial fibrillation. Int J Cardiol 2000; 75: 211-216. Go to original source... Go to PubMed...
    23. Schmieder S, Schneider MA, Karch MR, Schmitt C. Internal low energy cardioversion of atrial fibrillation using a single lead system: comparison of a left and right pulmonary artery catheter approach. Pacing Clin Electrophysiol 2001; 24: 1108-1112. Go to original source... Go to PubMed...
    24. Boriani G, Biffi M, Camanini C, Luceri RM, Branzi A. Transvenous low energy internal cardioversion for atrial fibrillation: a review of clinical applications and future developments. Pacing Clin Electrophysiol 2001; 24: 99-107. Go to original source... Go to PubMed...
    25. Levy S. Internal cardioversion. Is it needed? How best to perform it. Europace 2001; 3: 87-89. Go to original source... Go to PubMed...
    26. Santini L, Magris B, Topa A, Gallagher MM, Forleo GB, Papavasileiou LP, Borzi M, Romeo F, Santini M. Outpatient oesophageal-precordial electrical cardioversion of atrial fibrillation: an effective and safe technique to restore sinus rhythm. J Cardiovasc Med (Hagerstown) 2007; 8: 488-493. Go to original source... Go to PubMed...
    27. Deakin CD, Nolan JP. European Resuscitation Council guidelines for resuscitation 2005. Section 3. Electrical therapies: automated external defibrillators, defibrillation, cardioversion and pacing. Resuscitation 2005; 67(Suppl 1): S25-37. Go to original source... Go to PubMed...
    28. Táborský M, Kautzner J, Křivan L, et al. Zásady pro implantace kardiostimulátorů, implantabilních kardioverterůdefibrilátorů a systémů pro srdeční resynchronizační léčbu 2009. Cor Vasa 2009; 51. Go to original source... Go to PubMed...

    Return to the content


    Interventional Cardiology

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.