1. [Direct current cardioversion in Abidjan: report of a ten-year practice in Institute of Cardiology of Abidjan, Ivory Coast]
- Author
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Iklo, Coulibaly, Kouao Christophe, Konin, Anicet, Adoubi, Joseph Kouadio, Kouame, Fatoumata, Traore, Djénamba, Bamba-Kamagaté, Roland, Aka N'guetta, Marie-Paule, N'cho-Motto, Mahama, Ouattara, Jean-Baptiste, Anzouan-Kacou, and Evelyne, Ake-Traboulsy
- Subjects
Male ,Cote d'Ivoire ,Treatment Outcome ,Atrial Fibrillation ,Electric Countershock ,Humans ,Arrhythmias, Cardiac ,Female ,Middle Aged ,Aged - Abstract
Direct current cardioversion is effective in arrhythmias' termination. Few is known about its use in our practice. This work aims to report its outcomes over a ten-year period in Abidjan.One thousand, three hundred and ninety one charts of arrhythmic patients were reviewed.Cardioversion was attempted in 102 patients. One hundred and eighty one shocks were delivered with a mean energy of 262, 1 joules. Success occurred in 84 patients (82,3%). Cardioversion failed in 18 patients mostly in atrial fibrillation. Eight serious complications (7,8%) occurred including 1 sinus node dysfunction, 1 pulmonary oedema, 1 metrorrhagia, 2 stroke, 1 pulmonary embolism. Two patients with ventricular tachycardia died of end-stage heart failure and aftermath of a mitral valve surgery.Direct current cardioversion is effective and safe in our practice. Complications are predominantly due to the medical environment such as antiarrhythmic drugs use or clinical conditions.
- Published
- 2011