Cardioversión interna de la fibrilación auricular crónica / Internal cardioversion in chronic atrial fibrillation
Arch. cardiol. Méx
; 72(2): 138-144, abr.-jun. 2002.
Article
de Es
| LILACS
| ID: lil-329836
Bibliothèque responsable:
BR1.1
RESUMO
The importance of atrial fibrillation has always motivated the search of new treatment alternatives. Internal cardioversion has been proposed as a choice in the treatment of atrial fibrillation, giving rise to the development of atrial defibrillator. We present the case of a 68 years old patient without structural heart disease and with diagnosis of chronic atrial fibrillation of 10 months of evolution. He received treatment with antiarrhythmic drugs and successful electrical external cardioversion, but he relapsed a week later. For this reason, we decided to perform internal cardioversion with an electrocatheter (DAIG) placed in the coronary sinus through the right jugular vein and under light sedation with propofol (2 mg/kg weight). We applied three shocks of 1, 3, and 5 joules, being able to convert to sinus rhythm without complications. The patient continues under treatment with antiarrhythmic agents. Internal cardioversion has shown to be an effective way for the treatment of chronic atrial fibrillation, using a light sedation and low energy level to reestablish the sinus rhythm.
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Fibrillation auriculaire
/
Défibrillation
Type d'étude:
Diagnostic_studies
Limites du sujet:
Aged
/
Humans
/
Male
langue:
Es
Texte intégral:
Arch. cardiol. Méx
Thème du journal:
CARDIOLOGIA
Année:
2002
Type:
Article