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IMPORTANCE OF ELECTRICAL CARDIOVERSION FOR PATIENT WITH ATRIAL FIBRILLATION IN EMERGENCY DEPARTMENT

Ahmed Saeed Y Alasiri, Osama jamaan mohammed alzahrani, Faisal Ali M Alqarqah, Radad Saad Saeed Alqahtani.

In this review we discuss the treatment methods for individuals in the ED with acute atrial fibrillation; in particular, electrical cardioversion, alternatives for cardioversion (chemical versus electrical) and the safety and security of these strategies when utilized in the ED. Comprehensive search through most popular database; PubMed was performed for all articles on electrical cardioversion for patient with atrial fibrillation in emergency department published in English language up to September, 2019. AF, the most common supraventricular tachyarrhythmia, can cause stroke, cardiac arrest, and heart attack if untreated. AF cardioversion is feasible in the ED. Nonetheless, as regularly occurs, decision-making in ED is accomplished with some uncertainty since perfect randomized medical tests are not offered for real-world problems. The use ED Cardioversion in patients with current start of AF is associated with reduced hospital fees. These results would support the expense performance of aggressive ED management of patients with this condition. While the management of unpredictable AF or AFL is unambiguous, there are several prospective treatment methods for secure but symptomatic AF or AFL.

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