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#185 De: Daniel Boccardo <boccardo@agora.com.ar>
Enviado: Lunes 20 de Marzo de 2000 09:25
Asunto: Re: Aleteo Auricular/Re: Atrial flutter
Referente a la pregunta enviada por LUIS CARLES OLIVAN SAYROL <lolivan@sv.ftecla.es> sobre aleteo auricular, del dia 9 del corriente, el Dr. Daniel Boccardo envia la siguiente contribucion:
Fui al meeting del ACC y acabo de llegar.
Con respecto a las preguntas:
Si la FA ha durado mas de 48 hs hay que anticoagular durante 3 semanas antes de cardiovertir y luego 4 semanas mas. Los resultados de estudio ACUTE, presentados la semana pasada en el meeting del ACC, donde se proponia anticoagular unas horas, hacer ETE y luego cardiovertir electricamente y posteriormente anticoagular por 4 semanas, no han mostrado diferencias con el metodo tradicional, que es el que describi primero.
El fenomeno del atontamiento (que en realidad no se sabe bien que es), se produce tanto con la CV electrica como la farmacologica, por lo que hay que anticoagular 4 semanas despues de cardiovertir.
Gracias y hasta la proxima

In regard to the question send by LUIS CARLES OLIVAN SAYROL <lolivan@sv.ftecla.es> about atrial flutter from the 9th of this month, Dr. Daniel Boccardo sends the following contribution:
I went to the ACC meeting and I have just returned.
About the questions:
If the AF has lasted more than 48hs, anticoagulation must be made for 3 weeks before cardioversion, and then for 4 weeks more. The results from the ACUTE study, presented last week at the ACC meeting, where it was proposed to anticoagulate some hours, perform transesophageal echocardiography and then carry out electric cardioversion, and afterwards to anticoagulate for 4 weeks, have not displayed differences with the traditional method, that is the one I have described first.
The phenomenon of stunning (in fact it is ignored what it is exactly) happens both in electric cardioversion and in the pharmacological one, therefore anticoagulation must be made for 4 weeks after cardioversion.
Thanks and see you next time,
Daniel Boccardo, MD.FACC

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