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Journal of Cardiovascular Disease Research

2021, Vol: 8, Issue: 8
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    Descriptive and retrospective safety analysis of planned synchronized cardioversion as a day care procedure for successful return to normal sinus rhythm


    Dr. Shuchi Shah, Dr. Bhagyesh Shah, Dr. Archana M Shah, Nancy Gajera S
    JCDR. 2023: 211-216

    Abstract

    The aim of the present study was to assess the Safety and Efficacy of Planned Synchronized Cardioversion of Drug Resistant Cardiac Tachyarrhythmia under Day Care Anesthesia. Methods: This was an Observational Retrospective study to determine the Safety and Efficacy of Planned Synchronized Cardioversion of Drug Resistant Cardiac Tachyarrhythmia under Day Care. Data was collected from CIMS Hospital. For the study pre - ECG findings/outcomes (e.g. Atrial flutter, Atrial fibrillation) and post-ECG findings/outcomes (e.g. restoration of normal sinus rhythm) were observed. 75 patients were included in the study. Results: A total of 75 Patients with mean age of 59.10 (18 to 84 years) were evaluated. SD=12.75 we had a patients with minimum age of 27 years and maximum age of 84, weight with mean of (71.87), SD= 13.94 the patients with minimum weight of 49.6 kilograms, and maximum weight of 145 kilograms. Height with mean of (163.29) SD=15.81, minimum height of 143 centimeters and maximum height of 182 centimeters. The factors affecting/finding comorbidities in total of 75 patients, A total of 6 (8%) patients had inserted pacemaker, CRT in total of 2 (2%), CRTD in total of 6 (8%). Comparison in pair 1 shows dbp post-dbp approx. mean value between lower limit and upper limit (-2.283, 4.483) with p-value (0.476) was nonsignificant. In pair 2 HR- post HR approx. mean value between lower limit and upper limit (32.335, 47.585) with p-value (0.0005) was significant. In comparison with pair 3 sbp post-sbp approx. mean value between lower limit and upper limit (-4.060, 6.966) with p-value (0.601) was nonsignificant comparison with pair 4 spO2_post-spO2 approx. mean value between lower limit and upper limit (0.127, 3.265) with p-value (0.034) was significant. Conclusion: The result findings showed that main parameters of the study was significant in comparison between heart rate (p<0.05). A total of 71(95%) subjects had restoration of normal sinus rhythm. Overall, it can be concluded that the cardioversion was one of the best way for restoration of normal sinus rhythm in cardiac tachyarrhythmia disorder.

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