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Nikola Gjorgov, MD, Frank Provenier, MD, Luc Jordaens, MD 

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Presentation on theme: "Nikola Gjorgov, MD, Frank Provenier, MD, Luc Jordaens, MD "— Presentation transcript:

1 Low-energy intracardiac shocks during atrial fibrillation: Effects on cardiac rhythm 
Nikola Gjorgov, MD, Frank Provenier, MD, Luc Jordaens, MD  American Heart Journal  Volume 133, Issue 1, Pages (January 1997) DOI: /S (97) Copyright © 1997 Mosby, Inc. Terms and Conditions

2 Fig. 1 Usual position on anteroposterior radiograph of right atrial and coronary sinus shock catheters. American Heart Journal  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

3 Fig. 2 Left atrial size in relation to voltage conversion level. Filled squares , individual shocks. American Heart Journal  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

4 Fig. 3 Test shock level (20 V) with mean R-R intervals of all patients, from tenth to first interval before shock (arrow) and from first to tenth interval after shock. American Heart Journal  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

5 Fig. 4 Shock of 260 V synchronized with R wave in 55-year-old man resulted in ventricular pause of 1650 msec without conversion of atrial arrhythmia. Subsequent intervals are comparable to intervals before shock (paper speed, 50 mm/sec). American Heart Journal  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

6 Fig. 5 Prolongation of mean first postshock interval at 300 V level compared with other intervals and compared with 20 V level. American Heart Journal  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

7 Fig. 6 Correlation between mean noneffective first postshock R-R intervals and corresponding voltage levels. American Heart Journal  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

8 Fig. 7 Correlation between maximal recorded R-R interval (noneffective shocks) after shocks for every level. PSI , Postshock interval. American Heart Journal  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions


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