Atrial Fibrillation
Conditions
Keywords
DCCV, atrial fibrillation
Brief summary
Direct current cardioversion (DCCV) is a widespread method to restore sinus rhythm in patients with atrial fibrillation. It is a safe and effective method of treating atrial fibrillation. In this study, the investigators want to compare two algorithms. The rational one, with lower initial energy and the second one with the maximum possible shock energy.
Interventions
PROCEDUREDirect current cardioversion (DCCV)
DCCV is a safe and effective method of treating atrial fibrillation.
Sponsors
Nemocnice AGEL Trinec-Podlesi a.s.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients must have atrial fibrillation or atrial tachycardia. 2. Patients must be on therapeutic anticoagulation at least three weeks prior to DCCV or undergo esophageal echocardiography to rule out intracardiac thrombus. 3. Patients come on an empty stomach. 4. Patients must be over 18 years of age. 5. Patients must provide verbal and written informed consent to participate in the study.
Exclusion criteria
1. Omitting oral anticoagulant treatment in the last three weeks. 2. Unclear time of onset of palpitations in acute patients without anticoagulation therapy. 3. A different type of arrhythmia than atrial fibrillation or atrial tachycardia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart rhythm after DCCV | one minute after DCCV | sinus rhythm |
| Incidence of Neurological Adverse Events | two hours after DCCV | neurological complications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of skin changes | two hours after DCCV | none, skin redness, skin burns |
| Chest pain | one day after DCCV | 0-10 scale of pain severity |
Countries
Czechia
Outcome results
None listed