External cardioversion of atrial fibrillation in patients with implanted pacemaker or cardioverter-defibrillator systems: a randomized comparison of monophasic and biphasic shock energy application.

@article{Manegold2007ExternalCO,
  title={External cardioversion of atrial fibrillation in patients with implanted pacemaker or cardioverter-defibrillator systems: a randomized comparison of monophasic and biphasic shock energy application.},
  author={Johannes C. Manegold and Carsten Walter Israel and Joachim R. Ehrlich and Gabor Zoltan Duray and Dmitri Pajitnev and Florian T Wegener and Stefan H. Hohnloser},
  journal={European heart journal},
  year={2007},
  volume={28 14},
  pages={1731-8}
}
AIMS External cardioversion (ECV) of atrial fibrillation (AF) may damage implanted pacemaker and cardioverter-defibrillator (ICD) systems. This prospective study evaluated the safety and efficacy of ECV comparing mono- to biphasic shock waveforms in patients with implanted rhythm devices. METHODS AND RESULTS Patients with pacemaker or ICD systems and an indication for ECV were randomized to receive mono- or biphasic shocks. Systems were tested immediately before and after ECV, 1 h and 1 week… CONTINUE READING

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