How should electrodes be positioned in 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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Answer

Risius et al found that in external electrical cardioversion of atrial flutter, anterior-lateral electrode positioning yields results superior to those achieved with anterior-posterior positioning. [15] In this randomized trial, 96 patients (72 of them men) received sequential biphasic waveform shocks consisting of 50, 75, 100, 150, or 200 J according to a step-up protocol.


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