Direct current cardioversion does not cause cardiac damage: evidence from cardiac troponin T estimation.

Rao, A C; Naeem, N; John, C; Collinson, P O; Canepa-Anson, R; Joseph, S P · Heart · 1998

case_series · Level IV

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Abstract

To determine whether elective direct current (dc) cardioversion of atrial fibrillation/flutter causes myocardial damage. Cardiac troponin T and creatine kinase were estimated 20-28 hours after dc cardioversion in 51 patients who received dc shocks for elective cardioversion of chronic atrial fibrillation/flutter. Although creatine kinase was raised in 44 patients, cardiac troponin T was undetectable in all patients. Cardiac damage does not occur as a result of cardioversion.

Medical subject headings