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New cardiac arrhythmia requiring cardioversion 4.
Drug-induced side effects, time to rate control (<90 beats/min), number of patients requiring cardioversion, and length of hospitalization were similar for the two groups.
Data collection also included counts of the number of runs of non-sustained arrhythmias (episodes of spontaneous ventricular tachycardia (VT) or ventricular fibrillation (VF) lasting for more than 1 s but self-terminating within 15 s of commencement) and counts of the number of episodes of sustained VT or VF (lasting for 15 s or more and requiring cardioversion or defibrillation).
Arrhythmias could be delineated into phase 1a (0 to 20 min), phase 1b (20 to 50 min) and phase 2 (from 50 min to termination at 180 min) and were classified as premature ventricular contractions (PVCs), non-sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) (spontaneously reverting within 15 s) or sustained VT or VF (ie. requiring cardioversion at 15 s).
Another case of ventricular tachycardia requiring cardioversion was reported subsequently [ 11].
In both groups, about two-thirds of the patients were in persistent AF, defined as AF lasting >7 days or requiring cardioversion according to current guidelines [ 11].
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The patient had a hypotensive episode secondary to atrial flutter, which required cardioversion for stabilization.
All but two persistent AF subjects required cardioversion at the end of procedure to restore sinus rhythm.
Hypertension was a prominent feature in three patients in Group 2 (n = 3/5) while one patient in Group 2 developed cardiac dysrhythmia that required cardioversion.
After aneurysm repair, circulation is restored and under slow rewarming the heart starts to fibrillate spontaneously and will either convert to sinus rhythm or will require cardioversion.
Patients could be included if they had documented atrial fibrillation for more than 72 hours and required cardioversion and antiarrhythmic therapy.
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