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Resume La cardioversion electrique externe est efficace dans le traitement des arythmies. Peu de travaux lui ont ete consacres a Abidjan. Ce travail avait pour objectif de faire le bilan de 10 ans de pratique. Methode Mille trois cent quatrevingt-onze dossiers d’arythmies ont ete retrospectivement analyses. Resultats Cent deux patients ont ete choques ; 181 chocs delivres avec une energie moyenne de 262,1 Joules (J). La procedure a ete efficace chez 84 patients (82,3 %). Elle a echoue chez 18 patients (17,7 %). Huit complications graves ont ete enregistrees comprenant 1 dysfonction sinusale, 1 œdeme aigu du poumon, 1 metrorragie, 2 accidents vasculaires cerebraux et 1 embolie pulmonaire. Deux deces ont ete releves ; l’un pour tachycardie ventriculaire postoperatoire, l’autre pour tachycardie ventriculaire sur insuffisance cardiaque terminale. Conclusion Le choc electrique externe est efficace et sur. Les complications sont le plus souvent le fait des conditions cliniques plutot que de la procedure.

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.