Defibrillation efficacy and pain perception of two biphasic waveforms for internal cardioversion of atrial fibrillation

Journal of Cardiovascular Electrophysiology

Volumn 14, Issue 8, 2003, Pages 837-840

  Jung, Jens ^a   Siaplaouras, Stephanos ^a   Buob, Axel ^a   Schubert, Bernd D ^b   Hahn, Stephen J ^c   Heisel, Armin ^d  

^a SAARLAND UNIVERSITY   (Germany)

^b Guidant CPI Research   (Belgium)

^c Guidant Tachyarrhythmia Research   (United States)

^d Reinhard Nieter Krankenhaus Stadtische Kliniken gGmbH   (Germany)

Author keywords

Atrial defibrillation threshold; Internal cardioversion; Pain perception; Peak voltage; Shock waveform

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVERSION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEFIBRILLATION; FEMALE; HEART ATRIUM FIBRILLATION; HUMAN; MALE; NOCICEPTION; PRIORITY JOURNAL; WAVEFORM;

ATRIAL FIBRILLATION; DEFIBRILLATORS, IMPLANTABLE; ELECTRIC COUNTERSHOCK; FEMALE; HUMANS; MALE; MIDDLE AGED; PAIN; PAIN MEASUREMENT; TREATMENT OUTCOME;

EID: 0042237732     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1540-8167.2003.02557.x     Document Type: Article

References (19)

1. Lown B, Amarasingham R, Neuman J: New method for terminating cardiac arrhythmias: Use of synchronized capacitor discharge. JAMA 1962;182:548-555.
2. Murgatroyd FD, Slade AKB, Sopher SM, Rowland E, Ward DE, Camm AJ: Efficacy and tolerability of transvenous low energy cardioversion of paroxysmal atrial fibrillation in humans. J Am Coll Cardiol 1995;25:1347-1353.
3. Schmitt C, Alt W, Plewan A, Ammer R, Leibig M, Karch M, Schömig A: Low energy intracardiac cardioversion after failed conventional external cardioversion of atrial fibrillation. J Am Coll Cardiol 1996;28:994-999.
4. Sopher SM, Murgatroyd FD, Slade AKD, Blankoff I, Rowland E, Ward DE, Camm AJ: Low energy internal cardioversion of atrial fibrillation resistant to transthoracic shocks. Heart 1996;75:635-638.
5. Cooper RAS, Johnson EE, Kanter RJ, Merrill JJ, Sorentino RA, Wharton JM: Internal cardioversion in two patients with atrial fibrillation refractory to external cardioversion. PACE 1996;19:872-875.
6. Alt E, Ammer R, Schmitt C, Evans F, Lehmann G, Pasquantonio J, Schömig A: A comparison of treatment of atrial fibrillation with low-energy intracardiac cardioversion and conventional external cardioversion. Eur Heart J 1997;18:1796-1804.
7. Heisel A, Jung J, Neuzner J, Michel U, Pitschner HF: Low-energy transvenous cardioversion of atrial fibrillation using a single atrial lead system. J Cardiovasc Electrophysiol 1997;8:607-614.
8. Lévy S, Ricard P, Gueunoun M, Yapo F, Trigano J, Mansouri C, Paganelli F: Low-energy cardioversion of spontaneous atrial fibrillation. Immediate and long-term results. Circulation 1997;96:253-259.
9. Boriani G, Biffi M, Zannoli R, Branzi A, Magnani B: Transvenous internal cardioversion for atrial fibrillation: A randomized study on defibrillation threshold and tolerability of asymmetrical compared with symmetrical shocks. Int J Cardiol 1999;71:63-69.
10. Tomassoni G, Newby KH, Kearney MM, Brandon MJ, Barold H, Natale A: Testing different biphasic waveforms and capacitances: Effect on atrial defibrillation threshold and pain perception. J Am Coll Cardiol 1996;28:695-699.
11. Ammer R, Alt E, Ayers G, Schmitt C, Pasquantonio J, Schmidt M, Pütter K, Schömig A: Pain threshold for low energy intracardiac cardioversion of atrial fibrillation with low or no sedation. Pacing Clin Electrophysiol 1997;20:230-236.
12. Jung J, Heisel A, Fries R, Köllner V: Tolerability of internal low-energy shock strengths currently needed for endocardial atrial cardioversion. Am J Cardiol 1997;80:1489-1490.
13. Block M, Hammel D, Böcker D, Borggrefe M, Budde T, Isbruch F, Scheld HH, Breithardt G: Biphasic defibrillation using a single capacitor with large capacitance: Reduction of peak voltages and ICD device size. Pacing Clin Electrophysiol 1996;19:207-214.
14. Brugada J, Herse B, Sandsted B, Michel U, Schubert BD, Hahn SJ: Clinical evaluation of defibrillation efficacy with a new single-capacitor biphasic waveform in patients undergoing implantation of an implantable cardioverter defibrillator. Europace 2001;3:278-284.
15. Wellens HJJ, Lau CP, Lüderitz B, Akhtar M, Waldo AL, Camm AJ, Timmermans C, Tse HF, Jung W, Jordaens L, Ayers G, for the Metrix Investigators: Atrioverter, an implantable device for the treatment of atrial fibrillation. Circulation 1998;98:1651-1656.
16. Daoud EG, Timmermans C, Fellows C, Hoyt R, Lemery R, Dawson K, Ayers GM, for the Metrix Investigators: Initial clinical experience with the ambulatory use of an implantable atrial defibrillator for conversion of atrial fibrillation. Circulation 2000;102:1407-1413.
17. Keane D: Impact of pulse characteristics on atrial defibrillation energy requirements. Pacing Clin Electrophysiol 1994;17:1048-1057.
18. Lévy S, Ricard PH, Lau CP, Lok NS, Camm AJ, Murgatroyd FD, Jordaens LJ, Kappenberger LJ, Brugada P, Ripley KL: Multicenter low energy transvenous atrial defibrillation (XAD) trial results in different subsets of atrial defibrillation. J Am Coll Cardiol 1997;29:750-755.
19. Steinhaus DM, Cardinal DS, Mongeon L, Musley SK, Foley L, Corrrigan S: Internal defibrillation: Pain perception of low energy shocks. Pacing Clin Electrophysiol 2002;25:1090-1093.