Affiliation:
1. Privolzhsky Research Medical University, Ministry of Health of the Russian Federation
Abstract
Purpose — to study the effi cacy and safety of transesophageal atrial stimulation in combination with intravenous administration of amiodarone in comparison with pharmacological or device cardioversion in patients with typical atrial fl utter (AF). Material and methods. 129 patients with a typical paroxysmal or persistent AF were examined. The average patients age was 57.87 ± 7.43 years. The eff ectiveness and safety of pharmacological cardioversion with amiodarone iv, electrical cardioversion, transesophageal atrial stimulation, combined, if necessary, with intravenous amiodarone were compared. Conclusion. Statistically signifi cant diff erences were not found in the frequency of sinus rhythm achievement for diff erent types of a typical AF classical conservative treatment. The amiodarone addition during transesophageal atrial stimulation leads to a signifi cant increasing in the effi cacy in comparison with pharmacological cardioversion (p = 0.0380).
Publisher
Medical Informational Agency Publishers
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