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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Sunday, September 12, 2021

Electrical cardioversion

EemDocs - September 06, 2021 - By Rachel Lynn Graves and Gillian Bach
Reviewed by: Edward Lew; Alex Koyfman; Brit Long
“Take Home Points:
  • Patients with pre-existing cardiovascular disease, particularly structural heart disease and older patients (defined as age 65 and older, to error on the side of inclusion) are at risk for life-threatening complications following cardioversion. Be prepared to manage complications when cardioverting these patients.
  • Patients with pre-excitation syndromes may have bizarre QRS complexes that are difficult to distinguish from T waves, which can lead to asynchronous shock delivery and the development of VF.
  • All but the lowest risk patients should be anticoagulated prior to and following cardioversion unless they have a direct contraindication”