What are the treatments options for atrial flutter (AFL) when cardioversion is unsuccessful?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

If cardioversion is not successful with one electrode configuration, switching to another configuration may improve success. A second set of electrodes can be used with tandem or simultaneous shocks. Biphasic external waveform may be more effective in restoring sinus rhythm.


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