Vigilance arrhythmia cardioversion after the acute pulmonary

To investigate the heart cardioversion acute pulmonary edema after the incidence, New York Beth Israel Medical Center, Dr. Ramesh M. Gowda and his colleagues comprehensive analysis of the relevant articles and cases. The researchers found through a search of a total of 30 cases (male 23 cases) heart cardioversion after acute pulmonary edema. The average age was 53.8 ± 13 years (18-75 years). Arrhythmia including atrial fibrillation (69%), atrial flutter (24%), supraventricular tachycardia (4%) and ventricular tachycardia (4%). Cardiac arrhythmia before cardioversion the duration from one to 13 days, a wider scope. 26 patients (87%) of cardiovascular disease, including coronary artery disease (38%), rheumatic heart disease (23%), cardiac disease (23%) and hypertension (8%). DC cardioversion blow for 28 patients (93%), 2 patients (3%) Application pacemaker. The occurrence of pulmonary edema is not dependent on the heart cardioversion power (20 to 1,280 joules, the average 263 ± 27 joules). 14 patients (47%) received a short-acting general anesthetic, 8 patients (27%) use of tranquilizers. 23 patients (77%) resumed sinus rhythm. Information recorded 23 cases of heart patients cardioversion after pulmonary edema, from the time of emergence of the 96 hours immediately after the attack. 22% of the patients pulmonary edema occurred in the heart cardioversion after 15min, 30% of patients within 3 hours, 30% of patients within 24 hours, 17% of patients within 48 hours, with the remaining 4% occurred within 96 hours. 3 patients needed mechanical ventilation. Dr. Gowda, after heart cardioversion see fewer complications -- more acute pulmonary edema occurred in a primary heart disease in patients with heart unrelated to the power law.