JAMES J. MORRIS JR., M.D.; ROBERT H. PETER, M.D.; HENRY D. MCINTOSH, M.D., F.A.C.P.
For 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?
MORRIS JJ, PETER RH, MCINTOSH HD. Electrical Conversion of Atrial Fibrillation: Immediate and Long-term Results and Selection of Patients. Ann Intern Med. ;65:216–231. doi: 10.7326/0003-4819-65-2-216
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Published: Ann Intern Med. 1966;65(2):216-231.
Cardiology, Rhythm Disorders and Devices.
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