%A Andreas Plewan
%A Eckhard Alt
%J Indian Pacing and Electrophysiology Journal
%T Current Status of Internal Cardioversion in Atrial Fibrillation

%X The method of internal cardioversion for restoration of sinus rhythm using transvenous electrodes has been reported in several animal6,7 and human studies 8,9,10,11,12,13,14,15. Cooper et al6 tested multiple electrode configurations in a sheep model of atrial fibrillation. They demonstrated that the optimal single current pathway for internal atrial defibrillation employed two electrodes that surrounded both atria (e.g., right atrial appendage and distal coronary sinus). Similar results have been reported in several human studies12,13,14. Internal cardioversion has been shown to be superior to conventional external cardioversion in terms of primary success rate, energy requirements and the need for sedation; this superiority holds especially true for patients with a high body mass index of > 25 kg/m2 and increased transthoracic diameter1
%N 2
%K Atrial Fibrillation; Internal Cardioversion 
%P 40-44
%E Balbir Singh
%E Yash Lokhandwala
%E Johnson Francis
%E Anup Gupta
%V 2
%D 2002
%I Indian Pacing and Electrophysiology Group
%L cogprints4312

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