Rydén L, Malmberg K
Department of Cardiology, Karolinska Sjukhuset, Stockholm, Sweden.
S Afr Med J. 1996 Jun;86 Suppl 3:C152-8.
Since it was introduced in the late 1950s, direct-current cardioversion has been the standard procedure used to transfer patients with chronic atrial fibrillation to sinus rhythm. This review gives an overview of technical aspects of cardioversion, its risk and complications together with some clinical aspects, including factors of importance for a successful result. The haemodynamic benefits of sinus rhythm versus atrial fibrillation are also briefly emphasised, as are risk factors for thromboembolic events related to cardioversion. This review provides easily available information to those utilising this technology. A programme for cardioversion may be implemented on the basis of this.
自20世纪50年代末引入以来，直流电复律一直是将慢性房颤患者转为窦性心律的标准程序。本综述概述了复律的技术方面、其风险和并发症以及一些临床方面，包括对成功结果至关重要的因素。还简要强调了窦性心律与房颤相比的血流动力学益处，以及与复律相关的血栓栓塞事件的危险因素。本综述为使用该技术的人员提供了易于获取的信息。可据此实施复律方案。
