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Factors related to the decision to perform synchronized cardioversion for supraventricular tachyarrhythmias by prehospital emergency medical services workers.
Heart Lung
January 2025
Sakarya University, Faculty of Medicine, Department of Emergency, Sakarya, Türkiye. Electronic address:
Background: While clinical indicators for synchronized cardioversion in regular supraventricular tachycardias are well-established, their application by prehospital emergency medical services (EMS) still needs to be explored.
Objective: The purpose of this study was to evaluate the factors influencing the decision-making process of prehospital EMS personnel to perform synchronized cardioversion in adults with narrow QRS regular tachyarrhythmias.
Methods: This descriptive study included 598 paramedics actively engaged in prehospital EMS.
Successful Direct Current Cardioversion (DCCV) in Pregnancy in a Non-Obstetric Emergency Department.
Cureus
November 2024
Emergency Medicine, Mater Misericordiae University Hospital, Dublin, IRL.
Atrial Fibrillation (AF) is uncommon in pregnancy but associated with significant mortality. Although controlled studies evaluating therapeutic management of AF in pregnancy are lacking, current guidelines suggest that direct current cardioversion (DCCV) is safe in cases of maternal arrhythmia with hemodynamic compromise. In this report, we discuss a female patient of 22 weeks gestation who presented to the non-obstetric Emergency Department (ED) with acute onset, symptomatic AF.
View Article and Find Full Text PDFArticle Synopsis
- - Persistent left superior vena cava (PLSVC) is a rare venous condition that can complicate medical procedures like central venous catheterization and pacemaker placement due to its atypical drainage patterns, which can sometimes lead to serious issues like hypoxia.
- - A case study involving a 64-year-old male with multiple health issues and atrial fibrillation highlighted the challenges of managing PLSVC during a dual-chamber pacemaker implantation, where the patient experienced lead displacement post-procedure.
- - PLSVC typically results from incomplete development of the left anterior cardinal vein and is often identified incidentally during procedures, emphasizing the need for careful navigation during cardiac interventions.
Evaluation of Changes in Cardiac Troponin I Levels After Direct Current Cardioversion in Patients With Atrial Fibrillation.
Cureus
August 2024
Nursing, International Hellenic University of Thessaloniki, Thessaloniki, GRC.
Article Synopsis
- Direct current cardioversion (DCCV) is a procedure used to restore normal heart rhythm in patients with atrial fibrillation (AF), and cardiac troponin I (cTnI) is a biomarker that indicates myocardial injury.
- This study involved 59 patients undergoing synchronized DCCV, where cTnI levels were measured before and after the procedure at one, three, and six-hour intervals to assess any myocardial injury.
- The results showed that cTnI levels remained unchanged after DCCV, indicating no myocardial injury occurred, although a correlation was noted between the energy used in the procedure and the success of AF reversion.
What Mistakes Can Be Made When Performing the Electrical Cardioversion Procedure?-Analysis of Emergency Medical Team Performance during the Championships in Emergency Medicine.
Healthcare (Basel)
August 2024
Department of Emergency Medicine, Faculty of Health Sciences, University of Bielsko-Biala, Willowa 2, 43-309 Bielsko-Biała, Poland.
Background: Medical personnel carrying out electrical cardioversion (EC) procedures must remember to have the R-wave sync mode switched on, use the correct energy and maintain personal safety. The defibrillators used by medical response teams most often switch out of cardioversion mode once a shock is delivered. Therefore, this mode must be switched on again before subsequent shocks are delivered.
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