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Use of higher energy doses (120-150 J) may not offer additional benefits and higher success rate compared with low to moderate initial energy (100-120 J) of biphasic shock for atrial fibrillation cardioversion. In this prospective open-label randomized trial consecutive patients with AF and candidate to AF electrical cardioversion will be randomized to receive 100J or 120 J as initial dose of biphasic shock. Patients will be also randomized in each group to anterolateral or postero-anteriore placement of defibrillator electrodes.
Open-label randomized trial to assess the efficacy of alternative initial biphasic shocks (100 versus 120 J) for cardioversion of atrial fibrillation including alternative option for electrode placement (anterolateral or postero-anterior in each group).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 100 joule arm | Active Comparator | 100 joule as first biphasic shock energy |
|
| 120 joule arm | Active Comparator | 120 joule as first biphasic shock energy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 100 joule as first biphasic shock energy | Procedure |
| ||
| 120 joule as first biphasic shock energy |
| Measure | Description | Time Frame |
|---|---|---|
| Electrical cardioversion success | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Electrical cardioversion success | 3 months | |
| Complications rate | Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Massimo Imazio, MD | Contact | +39011439 | 3391 | massimo_imazio@yahoo.it |
| Name | Affiliation | Role |
|---|---|---|
| Massimo Imazio, MD | Cardiology Dpt. Maria Vittoria Hospital, Torino, Italy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardiology Dpt. Maria Vittoria Hospital | Recruiting | Torino | Torino | 10141 | Italy |
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| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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| Procedure |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |