Evaluation of Countershock Treatment of Atrial Flutter: With Special Reference to Arrhythmias Related to This Procedure

AGUSTIN CASTELLANOS; LOUIS LEMBERG; ARTHUR GOSSELIN; ENRIQUE J. FONSECA

doi:10.1001/archinte.1965.03860160052009

CASTELLANOS, AGUSTIN;LEMBERG, LOUIS;GOSSELIN, ARTHUR;FONSECA, ENRIQUE J.

1965-04-01 00:00:00

Abstract ELECTRICAL countershock has been found to be a useful method of terminating ventricular fibrillation since the end of the last century.1 However, there are still aspects related to this procedure that are not well known,2 especially in reference to the prevention of recurrence of the original arrhythmia. AC current was originally used by Zoll and co-workers3 primarily for the emergency treatment of ectopic ventricular rhythms.4,5 More recently, DC current has been employed successfully by Lown et al not only for emergency ventricular fibrillation but also for abolishing susupra-ventricular arrhythmias.6,8 Several other workers have performed elective defibrillation of the atria.9,13 In a previous report from our department dealing with problems related to conversion of atrial fibrillation,2 it was observed that a significant number of patients reverted to the original arrhythmia shortly after sinus rhythm was established. The number of recurrences of atrial fibrillation was decreased by premedication with quinidine sulfate. References 1. American Optical Company. 2. Prevost, J. L., and Batelli, F.: Sullquelques Effects des Descharges Eletriques sur le Coeur des Mammiferes , C R Acad Sci 129:1267, 1899. 3. Lemberg, L., et al: Arrhythmias Related to Cardioversion , Circulation 30:163, 1964.Crossref 4. Zoll, P. M., et al: Termination of Ventricular Fibrillation in Man by Externally Applied Countershock , New Eng J Med 254:427, 1956. 5. Zoll, P. M.; Linenthal, A. J.; and Zarsky, L. R. N.: Ventricular Fibrillation: Treatment and Prevention by External Electric Currents , New Eng J Med 262:105, 1960.Crossref 6. Zoll, P. M., et al: Effects of External Electric Currents on Heart: Control of Cardiac Rhythm and Induction and Termination of Cardiac Arrhythmia , Circulation 14:745, 1956.Crossref 7. Lown, B., et al: Cardioversion of Atrial Fibrillation: Report on Treatment of 65 Episodes in 50 Patients , New Eng J Med 269:1, 1963.Crossref 8. Lown, B., et al: Cardioversion of Ectopic Tachycardias , Amer J Med Sci 246:257, 1963.Crossref 9. Lown, B.; Kleiger, R.; and Wolff, G.: Technique of Cardioversion , Amer Heart J 67:283, 1964.Crossref 10. Killip, T.: Synchronized DC Precordial Shock for Arrhythmias , JAMA 186:107, 1963.Crossref 11. Robicsck, F., et al: Treatment of Atrial Fibrillation by DC Countershock , N Carolina Med J 24:154, 1963. 12. Stock, R. J.: Correspondence , New Eng J Med 269:534, 1963. 13. Oram, S., et al: Conversion of Atrial Fibrillation to Sinus Rhythm by DC Shock , Lancet 2:159, 1963.Crossref 14. Lemberg, L., and Castellanos, A., Jr.: Cardioversion: Study of 203 Episodes , J Florida Med Assoc , to be published. 15. Lewis T.: Mechanism and Graphic Registration of Heart Beat , ed 3, London: Shaw and Sons, Ltd., 1925. 16. Gaskell, W. H.: On Innervation of Heart, with Special Reference to Heart of Tortoise , J Physiol 4:43, 1883. 17. Vishnevsky, A. A.; Tsukerman, B. M.; and Smelorsky, S. I.: Control of Atrial Flutter by Electric Defibrillation in Atria , Klin Med (Moscva) 1959 18. Reference 18. 19. Paul, M. H., and Miller, R. A.: External Electrical Termination of Supraventricular Arrhythmias in Congenital Heart Disease , Circulation 25:604, 1962.Crossref 20. Zoll, P. M., and Linenthal, A. J.: Alternating Current Countershock for Arrhythmias , Circulation 30:III-180, 1964. 21. Morris, J. J., et al: Experience With Cardioversion of Atrial Fibrillation and Flutter , Amer J Cardiol 14:94, 1964.Crossref 22. Bellet, S.: Clinical Disorders of Heart Beat , Philadelphia: Lea & Febiger, 1963. 23. Zoll, P. M., and Linenthal, A. J.: Termination of Refractory Tachycardia by External Countershock , Circulation 25:596, 1963.Crossref 24. Katz, L. N., and Pick, A.: Clinical Electrocardiography: Part 1. Arrhythmias , Philadelphia: Lea & Febiger, 1956. 25. Brooks, C. M., et al: Excitability of the Heart , New York: Grune & Stratton, Inc., 1955. 26. Moe, G. K., and Mendez, R.: Basis of Pharmacotherapy of Cardiac Arrhythmias , Mod Conc Cardiov Dis 31:739, 1962. 27. Scherf, D., and Cohen, J.: Atrioventricular Node and Selected Cardiac Arrhythmias , New York: Grune & Stratton, Inc., 1964. 28. McMillan, T. M., and Bellet, S.: Auricular Flutter: Some of its Clinical Manifestations and Its Treatment: Based on Study of 65 Cases , Amer J Med Sci 184:33, 1932.Crossref 29. Hermann, G. R., and Hejtmancik, M. R.: Treatment of Atrial Flutter , Amer Heart J 41:182, 1951.Crossref 30. Cardenas, M., and Amezcua, F. A.: Aspectos clinicos del flutter auricular , Arch Inst Cardiol Mex 32:283, 1962. 31. Richtie, W. T.: Auricular Flutter , Edinburgh: Green, 1914. 32. Parkinson, J., and Bedford, D. E.: Course and Treatment of Auricular Flutter , Quart J Med 21:21, 1927.Crossref 33. Bell, W. N., and Strong, G. F.: Auricular Flutter , Canad Med Assoc J 41:700, 1951. 34. Langendorf, R.: Aberrant Ventricular Conduction , Amer Heart J 41:700, 1951.Crossref 35. Lown, B.: Cardioversion of Arrhythmias: II. , Mod Conc Cardiov Dis 33:869, 1964.

http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Archives of Internal Medicine American Medical Association

http://www.deepdyve.com/lp/american-medical-association/evaluation-of-countershock-treatment-of-atrial-flutter-with-special-wKosIeqqwu

Evaluation of Countershock Treatment of Atrial Flutter: With Special Reference to Arrhythmias Related to This Procedure

$Abstract ELECTRICAL countershock has been found to be a useful method of terminating ventricular fibrillation since the end of the last century.1 However, there are still aspects related to this procedure that are not well known,2 especially in reference to the prevention of recurrence of the original arrhythmia. AC current was originally used by Zoll and co-workers3 primarily for the emergency treatment of ectopic ventricular rhythms.4,5 More recently, DC current has been employed successfully by Lown et al not only for emergency ventricular fibrillation but also for abolishing susupra-ventricular arrhythmias.6,8 Several other workers have performed elective defibrillation of the atria.9,13 In a previous report from our department dealing with problems related to conversion of atrial fibrillation,2 it was observed that a significant number of patients reverted to the original arrhythmia shortly after sinus rhythm was established. The number of recurrences of atrial fibrillation was decreased by premedication with quinidine sulfate. References 1. American Optical Company. 2. Prevost, J. L., and Batelli, F.: Sullquelques Effects des Descharges Eletriques sur le Coeur des Mammiferes , C R Acad Sci 129:1267, 1899. 3. Lemberg, L., et al: Arrhythmias Related to Cardioversion , Circulation 30:163, 1964.Crossref 4. Zoll, P. M., et al: Termination of Ventricular Fibrillation in Man by Externally Applied Countershock , New Eng J Med 254:427, 1956. 5. Zoll, P. M.; Linenthal, A. J.; and Zarsky, L. R. N.: Ventricular Fibrillation: Treatment and Prevention by External Electric Currents , New Eng J Med 262:105, 1960.Crossref 6. Zoll, P. M., et al: Effects of External Electric Currents on Heart: Control of Cardiac Rhythm and Induction and Termination of Cardiac Arrhythmia , Circulation 14:745, 1956.Crossref 7. Lown, B., et al: Cardioversion of Atrial Fibrillation: Report on Treatment of 65 Episodes in 50 Patients , New Eng J Med 269:1, 1963.Crossref 8. Lown, B., et al: Cardioversion of Ectopic Tachycardias , Amer J Med Sci 246:257, 1963.Crossref 9. Lown, B.; Kleiger, R.; and Wolff, G.: Technique of Cardioversion , Amer Heart J 67:283, 1964.Crossref 10. Killip, T.: Synchronized DC Precordial Shock for Arrhythmias , JAMA 186:107, 1963.Crossref 11. Robicsck, F., et al: Treatment of Atrial Fibrillation by DC Countershock , N Carolina Med J 24:154, 1963. 12. Stock, R. J.: Correspondence , New Eng J Med 269:534, 1963. 13. Oram, S., et al: Conversion of Atrial Fibrillation to Sinus Rhythm by DC Shock , Lancet 2:159, 1963.Crossref 14. Lemberg, L., and Castellanos, A., Jr.: Cardioversion: Study of 203 Episodes , J Florida Med Assoc , to be published. 15. Lewis T.: Mechanism and Graphic Registration of Heart Beat , ed 3, London: Shaw and Sons, Ltd., 1925. 16. Gaskell, W. H.: On Innervation of Heart, with Special Reference to Heart of Tortoise , J Physiol 4:43, 1883. 17. Vishnevsky, A. A.; Tsukerman, B. M.; and Smelorsky, S. I.: Control of Atrial Flutter by Electric Defibrillation in Atria , Klin Med (Moscva) 1959 18. Reference 18. 19. Paul, M. H., and Miller, R. A.: External Electrical Termination of Supraventricular Arrhythmias in Congenital Heart Disease , Circulation 25:604, 1962.Crossref 20. Zoll, P. M., and Linenthal, A. J.: Alternating Current Countershock for Arrhythmias , Circulation 30:III-180, 1964. 21. Morris, J. J., et al: Experience With Cardioversion of Atrial Fibrillation and Flutter , Amer J Cardiol 14:94, 1964.Crossref 22. Bellet, S.: Clinical Disorders of Heart Beat , Philadelphia: Lea & Febiger, 1963. 23. Zoll, P. M., and Linenthal, A. J.: Termination of Refractory Tachycardia by External Countershock , Circulation 25:596, 1963.Crossref 24. Katz, L. N., and Pick, A.: Clinical Electrocardiography: Part 1. Arrhythmias , Philadelphia: Lea & Febiger, 1956. 25. Brooks, C. M., et al: Excitability of the Heart , New York: Grune & Stratton, Inc., 1955. 26. Moe, G. K., and Mendez, R.: Basis of Pharmacotherapy of Cardiac Arrhythmias , Mod Conc Cardiov Dis 31:739, 1962. 27. Scherf, D., and Cohen, J.: Atrioventricular Node and Selected Cardiac Arrhythmias , New York: Grune & Stratton, Inc., 1964. 28. McMillan, T. M., and Bellet, S.: Auricular Flutter: Some of its Clinical Manifestations and Its Treatment: Based on Study of 65 Cases , Amer J Med Sci 184:33, 1932.Crossref 29. Hermann, G. R., and Hejtmancik, M. R.: Treatment of Atrial Flutter , Amer Heart J 41:182, 1951.Crossref 30. Cardenas, M., and Amezcua, F. A.: Aspectos clinicos del flutter auricular , Arch Inst Cardiol Mex 32:283, 1962. 31. Richtie, W. T.: Auricular Flutter , Edinburgh: Green, 1914. 32. Parkinson, J., and Bedford, D. E.: Course and Treatment of Auricular Flutter , Quart J Med 21:21, 1927.Crossref 33. Bell, W. N., and Strong, G. F.: Auricular Flutter , Canad Med Assoc J 41:700, 1951. 34. Langendorf, R.: Aberrant Ventricular Conduction , Amer Heart J 41:700, 1951.Crossref 35. Lown, B.: Cardioversion of Arrhythmias: II. , Mod Conc Cardiov Dis 33:869, 1964.$

References (34)

Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Evaluation of Countershock Treatment of Atrial Flutter: With Special Reference to Arrhythmias Related to This Procedure

Evaluation of Countershock Treatment of Atrial Flutter: With Special Reference to Arrhythmias Related to This Procedure

Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Evaluation of Countershock Treatment of Atrial Flutter: With Special Reference to Arrhythmias Related to This Procedure

Evaluation of Countershock Treatment of Atrial Flutter: With Special Reference to Arrhythmias Related to This Procedure

References (34)

Abstract

Journal

Recommended Articles

There are no references for this article.

Our policy towards the use of cookies