Cardioversion strategy in atrial fibrillation and atrial flutter (review)

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Abstract
In the treatment of patients with atrial fibrillation (AF) and atrial flutter (AFL), the best results are achieved using a comprehensive approach. This facilitates the selection of the optimal management strategy for each individual patient based on current clinical guidelines. Cardioversion is a crucial component of the rhythm control strategy, aimed at both managing symptoms and improving the patient’s prognosis. Selecting the optimal method for restoring sinus rhythm, proper patient preparation, including anticoagulant therapy, and the correct implementation of all procedure stages are essential for achieving an effective and safe outcome. This paper discusses methods for terminating AF and AFL, and provides guidelines for strategies for restoring sinus rhythm and anticoagulant therapy in cardioversion in various clinical situations.

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