Initial energy for elective external cardioversion of persistent atrial fibrillation

Jose A. Joglar, Mohamed H. Hamdan, Karthik Ramaswamy, Jason D. Zagrodzky, Clifford J. Sheehan, Lauren L. Nelson, Thomas C. Andrews, Richard L. Page

Research output: Contribution to journalArticlepeer-review

81 Scopus citations


This study demonstrated that for elective DCC of persistent AF, an initial energy of 360 J was safe and significantly more effective than 100 or 200 J. Compared with the lower energies, fewer shocks and less total cumulative energy were required when 360 J was used initially. These data suggest that the success rate of the 'standard' 100-J initial energy is too low, and one should consider 360 J, or at least 200 JU, as the first shock strength for elective cardioversion of persistent AF.

Original languageEnglish (US)
Pages (from-to)348-350
Number of pages3
JournalAmerican Journal of Cardiology
Issue number3
StatePublished - Aug 2000

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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