A Randomized Comparison of Delivered Energy in Cardioversion of Atrial Fibrillation: Biphasic Truncated Exponential Versus Pulsed Biphasic Waveforms.
atrial fibrillation
biphasic waveform defibrillation
cardioversion
delivered energy
efficacy
high-sensitivity troponin
safety
Journal
Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402
Informations de publication
Date de publication:
17 Jun 2021
17 Jun 2021
Historique:
received:
20
05
2021
revised:
15
06
2021
accepted:
15
06
2021
entrez:
2
7
2021
pubmed:
3
7
2021
medline:
3
7
2021
Statut:
epublish
Résumé
A few randomized trials have compared impedance-compensated biphasic defibrillators in clinical use. We aim to compare pulsed biphasic (PB) and biphasic truncated exponential (BTE) waveforms in a non-inferiority cardioversion (CVS) study. This was a prospective monocentric randomized clinical trial. Eligible patients admitted for elective CVS of atrial fibrillation (AF) between February 2019 and March 2020 were alternately randomized to treatment with either a PB defibrillator (DEFIGARD TOUCH7, Schiller Médical, Wissembourg, France) or a BTE high-energy (BTE-HE) defibrillator (LIFEPAK15, Physio-Control Inc., Redmond, WA, USA). Fixed-energy protocol (200-200-200 J) was administered. CVS success was accepted if sinus rhythm was restored at 1 min post-shock. The study design considered non-inferiority testing of the primary outcome: cumulative delivered energy (CDE). Seventy-three out of 78 randomized patients received allocated intervention: 38 BTE-HE (52%), 35 PB (48%). Baseline characteristics were well-balanced between groups (
Identifiants
pubmed: 34204498
pii: diagnostics11061107
doi: 10.3390/diagnostics11061107
pmc: PMC8235401
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT04032678']
Types de publication
Journal Article
Langues
eng
Références
Resuscitation. 2001 Jul;50(1):61-70
pubmed: 11719131
Resuscitation. 2016 May;102:e1
pubmed: 26995666
Int J Cardiol. 2011 May 5;148(3):341-6
pubmed: 20036430
Resuscitation. 2014 Oct;85(10):1399-404
pubmed: 25010783
Circulation. 2015 Oct 20;132(16 Suppl 1):S84-145
pubmed: 26472860
Resuscitation. 2019 Aug;141:69-72
pubmed: 31201884
Resuscitation. 2006 Nov;71(2):146-51
pubmed: 16987583
Am J Cardiol. 2004 Dec 1;94(11):1438-40
pubmed: 15566922
Int J Technol Assess Health Care. 2014 Jan;30(1):78-89
pubmed: 24507242
Resuscitation. 2013 Mar;84(3):286-91
pubmed: 22842285
Heart. 2008 Jul;94(7):884-7
pubmed: 17591649
J Am Coll Cardiol. 2002 Jun 19;39(12):1956-63
pubmed: 12084594
Resuscitation. 2003 Oct;59(1):59-70
pubmed: 14580735
Clin Cardiol. 2018 May;41(5):666-670
pubmed: 29532491
J Am Heart Assoc. 2017 Mar 8;6(3):
pubmed: 28275066
Am Heart J. 1982 Jun;103(6):1073-4
pubmed: 7081022
Resuscitation. 2016 Mar;100:66-75
pubmed: 26777209
Resuscitation. 2016 May;102:e2
pubmed: 26995665
Resuscitation. 2013 Nov;84(11):1596-603
pubmed: 23735652
Cardiology. 2008;111(1):57-62
pubmed: 18239394
Circulation. 2000 Mar 21;101(11):1282-7
pubmed: 10725288
Eur Heart J. 2020 Feb 1;41(5):626-631
pubmed: 31504412
Heart. 2004 Dec;90(12):1493-8
pubmed: 15547045
J Am Coll Cardiol. 2011 Jun 14;57(24):2406-8
pubmed: 21658560
Eur Heart J. 2021 Feb 1;42(5):373-498
pubmed: 32860505
Europace. 2020 Aug 1;22(8):1149-1161
pubmed: 32337542
Heart Rhythm. 2005 Apr;2(4):382-7
pubmed: 15851340
Am J Cardiol. 2003 Oct 1;92(7):810-4
pubmed: 14516881
J Med Eng Technol. 2001 Mar-Apr;25(2):68-73
pubmed: 11452635
J Atr Fibrillation. 2019 Oct 31;12(3):2172
pubmed: 32435331