Anticoagulation for cardioversion of atrial fibrillation
dc.contributor.author | Weinberg, David M. | en_US |
dc.contributor.author | Mancini, G. B. John | en_US |
dc.date.accessioned | 2006-04-07T20:52:07Z | |
dc.date.available | 2006-04-07T20:52:07Z | |
dc.date.issued | 1989-03-15 | en_US |
dc.identifier.citation | Weinberg, David M., Mancini, G. B. John (1989/03/15)."Anticoagulation for cardioversion of atrial fibrillation." The American Journal of Cardiology 63(11): 745-746. <http://hdl.handle.net/2027.42/28015> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6T10-4C708JH-V9/2/eba907fd34c600bc792c1558ab2b6eb5 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/28015 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=2923062&dopt=citation | en_US |
dc.description.abstract | A trial fibrillation (AF) is a common arrhythmia associated with a broad spectrum of underlying diseases that include systemic hypertension, rheumatic heart disease and coronary artery disease.1 Several studies have documented the strong relation between chronic AF and emboli.2,3 In addition, an increased risk of embolism exists in the setting of cardioversion of AF to sinus rhythm.4,5 In the best study to date, Bjerkelund and Orning6 reported on 572 attempted cardioversions in 437 patients and observed a 0.8% incidence of embolization in long-term anticoagulated patients compared with 5.3% in a nonanticoagulated group. Shortcomings of this study included lack of randomization, no evaluation of shortterm therapy and inclusion of arrhythmias such as atrial flutter and atrial tachycardia. Based on such work, current recommendations include anticoagulation for 2 to 4 weeks before cardioversion to allow adherence and endothelialization of existing thrombus and 1 to 4 weeks after cardioversion to provide coverage for late resumption of atrial activity.7,8 The present report evaluates these recommendations in light of our experience over the past 10 years. | en_US |
dc.format.extent | 319747 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | Anticoagulation for cardioversion of atrial fibrillation | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Veterans Administration Medical Center, Ann Arbor, Michigan 48105, USA; Department of Internal Medicine, Division of Cardiology, the University of Michigan, Ann Arbor, Michigan 48105, USA. | en_US |
dc.contributor.affiliationum | Veterans Administration Medical Center, Ann Arbor, Michigan 48105, USA; Department of Internal Medicine, Division of Cardiology, the University of Michigan, Ann Arbor, Michigan 48105, USA. | en_US |
dc.identifier.pmid | 2923062 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/28015/1/0000451.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0002-9149(89)90264-6 | en_US |
dc.identifier.source | The American Journal of Cardiology | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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