Cardioversion vs. Catheter Ablation

There is more and more evidence that ablation can be performed as a first-line treatment for early stage AFib with excellent outcomes. In addition, ablation may be the best option for patients with AFib and heart failure - Mauricio Arruda MD

Cardioversion vs. Catheter Ablation
Cardioversion vs. Catheter Ablation

image by: Mark Adorada

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Electrical Cardioversion for Persistent Atrial Fibrillation in the Era of Catheter Ablation: A Real-world Observational Study

Electrical cardioversion (ECV) for persistent AF is acutely efficacious, with a low incidence of major complications. However, during long-term follow-up, recurrence of AF is common, and ECV is not an effective long-term strategy for the maintenance of SR. We propose a strategy for using ECV in the management of persistent AF. Catheter ablation is effective, widely available, and should be the preferred strategy for the majority of patients with persistent AF.

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 Electrical Cardioversion for Persistent Atrial Fibrillation in the Era of Catheter Ablation: A Real-world Observational Study

Electrical cardioversion (ECV) is frequently performed to treat persistent atrial fibrillation (AF). Although several large trials have suggested that rate control in AF may be non-inferior to rhythm-based strategies, individual patients may have better outcomes in terms of quality of life if sinus rhythm (SR) is achieved and maintained. This real-world, retrospective, observational study aimed to define the success rate and role of ECV in the management of persistent AF in the era of catheter ablation.

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