Electrical Conversion of Atrial Fibrillation
Authors: JAMES J. MORRIS
Journal: Annals of Internal Medicine (1966)

Article1 August 1966Electrical Conversion of Atrial FibrillationImmediate and Long-term Results and Selection of PatientsJAMES J. MORRIS JR., M.D., ROBERT H. PETER, M.D., HENRY D. MCINTOSH, M.D., F.A.C.P.JAMES J. MORRIS JR., M.D., ROBERT H. PETER, M.D., HENRY D. MCINTOSH, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-65-2-216 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFor many years the major therapeutic approach for reverting atrial fibrillation to sinus rhythm has been through the use of quinidine. In 1962 Lown, Amarasingham, and Neuman (1) introducted direct-current shock as a method for terminating atrial fibrillation. This method has since proved to be a major advance over drug therapy in restoring atrial fibrillation to sinus rhythm. However, before the ultimate role of such therapy can be established, three major questions must be answered affirmatively:1. Can the patient expect to experience significant physiologic improvement when sinus rhythm is restored?2. Is this technique safe and effective?3. Can...References1. LOWNAMARASINGHAMNEUMAN BRJ: New method for terminating cardiac arrhythmias. Use of synchronized capacitor discharge. JAMA 182: 548, 1962. MedlineGoogle Scholar2. MORRISKONGNORTHMCINTOSH JJYWCHD: Experience with "cardioversion" of atrial fibrillation and flutter. Amer. J. Cardiol 14: 94, 1964. CrossrefMedlineGoogle Scholar3. PETERMORRISMCINTOSH RHJJHD: The relationship of fibrillatory waves and P waves in the electrocardiogram. Circulation 33: 599, 1966. CrossrefMedlineGoogle Scholar4. MORRISESTESWHALENTHOMPSONMCINTOSH JJEHREHKHD: P-wave analysis in valvular heart disease. Circulation 29: 242, 1964. CrossrefMedlineGoogle Scholar5. 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PETER, M.D.; HENRY D. MCINTOSH, M.D., F.A.C.P.Affiliations: Durham, North CarolinaFrom the Cardiovascular Laboratory, Department of Medicine, Duke University Medical Center, Durham, N. C.This study was supported in part by grants HE-07563 and H-4807, the National Institutes of Health, Bethesda, Md., and by grants-in-aid from the North Carolina Heart Association and the Council for Tobacco Research—U. S. A.Dr. Morris was supported by a Special Fellowship and Dr. Peter by a Postdoctoral Fellowship from the U. S. Public Health Service, Washington, D. C., at the time of this work.Requests for reprints should be addressed to James J. Morris, Jr., M.D., Cardiovascular Laboratory, Duke University Medical Center, Durham, N. C. 27706. 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reappraisalRapid atrial stimulation: Successful method of conversion of atrial flutter and atrial tachycardiaPulmonary Edema after Direct Current CountershockFACTORS INFLUENCING PERSISTENCE OF SINUS RHYTHM AFTER DC SHOCK TREATMENT OF ATRIAL FIBRILLATIONMONOPHASIC ACTION POTENTIAL AND SINUS RHYTHM STABILITY AFTER CONVERSION OF ATRIAL FIBRILLATIONPulmonary Edema following Direct Current CardioversionTreatment of Cardiac ArrhythmiasThe use of drugs in achieving successful DC cardioversionThe efficacy of anticoagulant therapy in preventing embolism related to D.C. electrical conversion of atrial fibrillationEnzyme changes following direct current countershockA Clinical Profile of Idiopathic Atrial Fibrillation A Functional Disorder of Atrial RhythmROBERT H. PETER, JACK G. GRACEY, THOMAS B. BEACHLactic dehydrogenase isoenzymes after electroshock treatment of cardiac arrhythmiasDIRECT CURRENT CONVERSION OF ATRIAL FIBRILLATION-LONG-TERM RESULTSAN EVALUATION OF DC SHOCK TREATMENT OF ATRIAL ARRHYTHMIASDIRECT CURRENT COUNTERSHOCK COMPLICATIONSFactors affecting cardioversion of atrial arrhythmias with special reference to quinidine.Case 49-1967Recognition of Digitalis Intoxication in the Presence of Atrial FibrillationJOHN A. KASTOR, M.D., PETER M. YURCHAK, M.D., F.A.C.P.Pulmonary edema following cardioversion 1 August 1966Volume 65, Issue 2Page: 216-231KeywordsAtrial fibrillationFellowshipsHemodynamicsIntoxicationLongitudinal studiesMedical servicesOintmentsResearch laboratoriesShockStenosis ePublished: 1 December 2008 Issue Published: 1 August 1966 PDF downloadLoading ...