Cardioversion and Digitalis

Author:

KLEIGER ROBERT1,LOWN BERNARD1

Affiliation:

1. From the Department of Nutrition, Harvard School of Public Health, and the Medical Clinics of the Peter Bent Brigham Hospital, Boston, Massachusetts.

Abstract

The electrocardiograms before and immediately after cardioversion of 100 consecutive patients with chronic atrial fibrillation treated at the Peter Bent Brigham Hospital have been analyzed. Evidence of digitalis intoxication in the precardioversion tracing was associated with a significant increase in the incidence of serious ventricular ectopic activity following electrical shock. The role of digitalis in post-cardioversion arrhythmias is reviewed. The measures to reduce the incidence and gravity of such arrhythmias are outlined.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference28 articles.

1. New method for terminating cardiac arrhythmias: Use of synchronized capacitor discharge;LOWN B.;JAMA,1962

2. Synchronized DC Precordial Shock for Arrhythmias

3. CONVERSION OF ATRIAL FIBRILLATION TO SINUS RHYTHM BY DIRECT-CURRENT SHOCK

4. Treatment of cardiac arrhythmias with synchronized electrical countershock;BROWN K.;Canad Med Ass J,1964

5. "Cardioversion" of arrhythmias;LOWN B.;Mod Conc Cardiov Dis,1964

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