Effectiveness of amiodarone, propafenone and synchronized electrical cardioversion for conversion of atrial fibrillation paroxysm to sinus rhythm in Rigas Stradins University Hospital department of emergency medicine.

Authors

Mihails Tracevskis, University of LatviaFollow

Author ORCID Identifier

https://orcid.org/0000-0002-4614-7222

Abstract

Abstract

Introduction: Atrial fibrillation remains a pervasive global health concern, contributing significantly to the incidence of stroke, heart failure, sudden death, and overall cardiovascular morbidity.

Materials and methods: The present study undertook a retrospective analysis involving a meticulous examination of 127 patients, representing a diverse cohort of individuals encompassing 73 men (with a median age of 62 and a range of 37-75) and 54 women (with a median age of 60 and a range of 42-78) duration of atrial fibrillation 48 hours or less.

Results: The results highlighted amiodarone's remarkable efficiency, as it successfully converted 81.2% of cases (56 out of 69 patients) to sinus rhythm. In comparison, propafenone also demonstrated considerable efficacy, converting 78.8% of cases (26 out of 33 patients) to sinus rhythm. the most striking results were observed with electrical cardioversion, achieving an impressive 96.0% success rate (24 out of 25 patients). (p

Conclusion: In conclusion, the combination of amiodarone, propafenone, and electrical cardioversion offers an array of effective tools for restoring sinus rhythm in patients with atrial fibrillation. To further enhance patient care, medical practitioners should prioritize the consideration of atrial fibrillation duration when deciding on the most appropriate treatment plan within the emergency department.

Publication Date

8-2023

Publisher

Mihails Tracevskis, Assoc. Prof. Irina Pupkeviča

First Page

169

Last Page

179

Conflict of Interest

Authors declare no conflict of interest.

Keywords

atrial fibrillation, sinus rhythm, treatment

Word Count

2427

Recommended Citation

Tracevskis M. Effectiveness of amiodarone, propafenone and synchronized electrical cardioversion for conversion of atrial fibrillation paroxysm to sinus rhythm in Rigas Stradins University Hospital department of emergency medicine.. Digital Journal of Clinical Medicine. 2023; 5(4): 169-179. doi: https://doi.org/10.55691/2582-3868.1140

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.