What technique is used to perform cardioversion for the treatment of atrial flutter (AFL)?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Points to remember about the cardioversion technique include the following:

  • Use a wide electrode separation in the right anterior and left posterior positions (sandwiching the atria), although the more traditional pad location (anterior and apical) will also work
  • Apply pressure on the paddles or electrodes to reduce thoracic impedance
  • In women, place the electrode patches under or lateral to the breasts

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