Filed under: DC cardioversion

DC Cardioversion of Atrial Fibrillation

afib_dc_conv_strip

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Patient: Ca. 50 year old man with new-onset atrial fibrillation. Presented in the ER with palpitations, mild dyspnea and fatigue. Initial ECG shows atrial fibrillation with a rapid ventricular response around 150 bpm. Onset of fibrillation was just few hours before hospital admittance. The ECG strip shows lead III from a 3-lead monitoring from the defibrillator.

ECG description:

  • Atrial fibrillation with rapid ventricular response. Rate is around 150 bpm.
  • A DC (direct current) monophasic shock at 100J is delivered and successfully converts the arrhythmia into a normal sinus paced rhythm.

2 Comments December 14, 2008


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