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Cardiology • Cardiac Electrophysiology
What is your approach during DCCV if you have an obese patient with atrial fibrillation refractory to up to 3, 360 J shocks?
Would you then opt for double vector DCCV to deliver 2, 360J shocks simultaneously, and/or bolus with amiodarone?
Answer from: at Community Practice
The main question is are we sure there is a cardioversion and not just a quick recurrence. If it is a recurrence, would use AAD like amio. If not capturing myocardium, would use another vector or use 2 synced shocks (and 360 biphasic if you have that).
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Answer from: at Community Practice
I had better luck with biphasic.
Comments
at Aurora Denver Cardiology Associates Pc
Agree with the above comments. I also would consid...
Agree with the above comments. I also would consid...
at Heart And Vascular Center Of Arizona
Great point on the likelihood of maintaining sinus...
Great point on the likelihood of maintaining sinus...