How do you cardiovert AF: Drugs or Electricity?
May 15, 2024![](https://kajabi-storefronts-production.kajabi-cdn.com/kajabi-storefronts-production/file-uploads/blogs/2147737994/images/fd0558d-c70e-e64-f7-f2c78aac2dd3_ca6f0d07-79ce-4f6d-ac2b-3cd16e1dc1d7.png)
Atrial Fibrillation is the most common arrhythmia we see. Conversion to sinus rhythm of recent-onset of atrial fibrillation is proven to be safe. How do you cardiovert? Is a pharmacological cardioversion first approach more successful than an electrical cardioversion first approach in acute atrial fibrillation?
The RAFF-2 Trial(1) Gives Us the answer.
What They Did
The was a two-protocol trial conducted in 11 academic hospitals in Canada. It compared the safety and efficacy of procainamide + electrical cardioversion (DCCV) vs. DCCV alone. It also looked at the cardioversion group and looked to assess the best pad positions.
There were two protocols used:
- Protocol 1: IV procainamide 15mg/kg (max dose 1500mg) given over 30 minutes followed by electrical cardioversion..... Read More
Become a member for full access to all parts of the website.