Of 95 patients receiving transthoracic shocks for atrial flutter in the emergency department, about half were treated with a defibrillator that delivered monophasic-waveform shocks and the rest were ...
I need help. Here is a common case that causes me great consternation. It is one that brings two worthy philosophies into the ring. In one corner is the ever-virtuous minimally disruptive philosophy.
When atrial flutter is seen with such a slow ventricular response (in this case, 9:1 conduction), there is concern for underlying complete heart block should the patient be restored to normal sinus ...
Patients with recent-onset atrial fibrillation commonly undergo immediate restoration of sinus rhythm by pharmacologic or electrical cardioversion. However, whether immediate restoration of sinus ...