Franzen Damian, Brombach Klaus, Möbius Hartmut
Int J Cardiol. 2006 Mar 8;107(3):303-6. doi: 10.1016/j.ijcard.2005.03.043. Epub 2005 Aug 22.
Elective electrical cardioversion of atrial fibrillation is an effective and safe cardiac procedure in selected patients. It is most often performed during a short hospital stay or in an outpatient setting of a hospital. In a retrospective analysis, we report our experience on electrical cardioversions in private practice without a hospital stand-by performed by a cardiologist and an anesthesiologist in concert. Sixty patients with a mean age of 66+/-8 years and a typical spectrum of cardiac diseases in stable condition were chosen for the ambulatory procedure. The immediate success rate of electrical cardioversion was 83%. Within the next 3 months, a relapse of atrial fibrillation occurred in 46%. Following 87 procedures in 60 patients, 3 complications requiring a hospital admission occurred. One of these three patients had suffered from a short syncope without other deficits potentially due to cerebral embolism. Apart from these complications, no patient suffered a thromboembolic complication or a cerebral problem following electrical cardioversion. We conclude that elective electrical cardioversion of atrial fibrillation can be performed safely, effectively and comfortable for patient and physician following a preceding evaluation and counseling by a cardiac specialist.
对于选定的患者，择期心房颤动电复律是一种有效且安全的心脏治疗方法。该操作通常在短暂住院期间或医院门诊进行。在一项回顾性分析中，我们报告了在私人诊所由心脏病专家和麻醉师协同进行、无医院备用支持的心房颤动电复律经验。选择了60例平均年龄为66±8岁、患有典型稳定心脏病谱的患者进行门诊治疗。电复律的即刻成功率为83%。在接下来的3个月内，46%的患者房颤复发。60例患者进行了87次操作后，出现了3例需要住院治疗的并发症。这3例患者中有1例曾发生短暂晕厥，无其他潜在的因脑栓塞导致的功能缺损。除这些并发症外，电复律后无患者发生血栓栓塞并发症或脑部问题。我们得出结论，在心脏专科医生进行前期评估和咨询后，择期心房颤动电复律对患者和医生而言均可安全、有效地进行，且操作过程舒适。
