Optimization of Initial Energy for Cardioversion of Atrial Fibrillation With Biphasic Shocks
- Conditions
- Atrial FibrillationCardioversion
- Interventions
- Procedure: 100 joule as first biphasic shock energyProcedure: 120 joule as first biphasic shock energy
- Registration Number
- NCT01910779
- Lead Sponsor
- Maria Vittoria Hospital
- Brief Summary
Use of higher energy doses (120-150 J) may not offer additional benefits and higher success rate compared with low to moderate initial energy (100-120 J) of biphasic shock for atrial fibrillation cardioversion. In this prospective open-label randomized trial consecutive patients with AF and candidate to AF electrical cardioversion will be randomized to receive 100J or 120 J as initial dose of biphasic shock. Patients will be also randomized in each group to anterolateral or postero-anteriore placement of defibrillator electrodes.
- Detailed Description
Open-label randomized trial to assess the efficacy of alternative initial biphasic shocks (100 versus 120 J) for cardioversion of atrial fibrillation including alternative option for electrode placement (anterolateral or postero-anterior in each group).
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 154
- Adult (Age>18 years)
- Candidate to Cardioversion for recent onset, persistent atrial fibrillation (>48 hours but < 12 months)
- Informed Consent
- Atrial Flutter or other arrythmias
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 100 joule arm 100 joule as first biphasic shock energy 100 joule as first biphasic shock energy 120 joule arm 120 joule as first biphasic shock energy 120 joule as first biphasic shock energy
- Primary Outcome Measures
Name Time Method Electrical cardioversion success Day 1
- Secondary Outcome Measures
Name Time Method Electrical cardioversion success 3 months Complications rate Day 1
Trial Locations
- Locations (1)
Cardiology Dpt. Maria Vittoria Hospital
🇮🇹Torino, Italy