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https://www.rcpjournals.org/content/clinmedicine/17/5/419
Introduction. International guidelines support the well-established clinical practice that patients who present with non-valvular atrial fibrillation (AF) of less than 48 hours duration should be considered for cardioversion, even in the absence of pre-existing anticoagulation. 1,2 The risk with more prolonged periods of AF is that restoration of sinus rhythm may precipitate embolism of intra ...Cited by: 5
https://jamanetwork.com/journals/jama/fullarticle/1895235
2014-8-13 · In the retrospective Finnish CardioVersion study, 4 all patients with a primary diagnosis of AF, aged 18 years or older, with successful cardioversion in the emergency department within the first 48 hours of AF, and residence in the catchment areas of Turku and Kuopio university hospitals from 2003 to 2010 and Pori central hospital during 2010 were included.Cited by: 142
https://pubmed.ncbi.nlm.nih.gov/9103128/
Background: It has been assumed that cardioversion in patients with atrial fibrillation lasting less than 48 hours is associated with a low risk for thromboembolism. However, no clinical data support this assumption. Objective: To determine the incidence of cardioversion-related clinical thromboembolism among patients presenting with atrial fibrillation lasting less than 48 hours.Cited by: 280
https://www.practicalcardiology.com/view/afib-less-48-hours-look-thromboembolic-risk
2016-11-15 · Afib of Less than 48 Hours: A Look at Thromboembolic Risk. November 15, 2016. Payal Kohli, MD. New research suggests that even a short time spent in atrial fibrillation increases thromboembolic risk nearly 5-fold. Dan Smith is a 69-year-old with a history of hypertension who presents to the emergency room 4 hours after the onset of palpitations.
http://www.emlitofnote.com/?p=3393
2014-8-18 · It has become generally accepted practice to treat new-onset atrial fibrillation and atrial flutter with electrical cardioversion in the acute setting – provided the known onset of atrial fibrillation is less than 48 hours. Beyond that, caution tends to be advised – whether through use of transesophageal echocardiography to rule out left atrial thrombus, or…Estimated Reading Time: 2 mins
https://www.nejm.org/doi/full/10.1056/NEJMoa1900353
2019-3-18 · Early pharmacologic or electrical cardioversion is common practice. 1-3 However, the wait-and-see strategy, with delayed cardioversion if needed within 48 hours …Cited by: 73
https://epmonthly.com/article/a-fib-a-cardioversion-just-shock-em/
2010-8-10 · Jacoby, in the Journal of Emergency Medicine, 2005, reported that patients who present with atrial fibrillation within 48 hours of onset could be safely and successfully cardioverted. In 29 of 30 events in 24 patients, cardioversion was successful with no embolic events at 19 weeks. Other studies have shown similar results, validating Jacoby ...Estimated Reading Time: 8 mins
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