Teknik Kardioversi

Oleh :

dr.Eva Naomi Oretla

Teknik kardioversi dapat dibagi dua, yakni kardioversi elektrik dan kardioversi farmakologis. Kardioversi elektrik menghantarkan energi kejut listrik yang telah tersinkronisasi dengan kompleks QRS sehingga dapat mengonversi ritme jantung yang abnormal menjadi ritme sinus normal. Kardioversi farmakologis menggunakan agen antiaritmia.[5,7-9]

Mekanisme Kardioversi Tersinkronisasi

Kardioversi elektrik merupakan kardioversi arus listrik searah atau DC (direct current) yang tersinkronisasi dengan kompleks QRS. Kejut arus listrik (electric shock) akan dihantarkan melalui dua pad elektroda (paddle) yang diletakkan di toraks.[3,4,8]

Referensi

1. Soar J, Bo¨ttiger B W, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021;161:115-151 DOI: https://doi.org/10.1016/j.resuscitation.2021.02.010
2. Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). European Heart Journal. 2020;00:1-125 DOI:10.1093/eurheartj/ehaa612
3. Shah S N. Defibrillation and Cardioversion. Medscape. 2018. https://emedicine.medscape.com/article/80564-overview
4. Khatami M, Pope M K, et al. Cardioversion Safety – Are We Doing Enough?. Cardiology. 2020;0:1-6 DOI:10.1159/000509343
5. Goyal A. Synchronized Electrical Cardioversion. StatPearls. 2023. https://www.statpearls.com/ArticleLibrary/viewarticle/29803
7. Prasai P, Shrestha D B, et al. Electric Cardioversion vs. Pharmacological with or without Electric Cardioversion for Stable New-Onset Atrial Fibrillation: A Systematic Review and Meta-Analysis. J. Clin. Med. 2023;12(1165):1-14 DOI: https://doi.org/10.3390/jcm12031165
8. Beinart S C. Synchronized Electrical Cardioversion. Medscape. 2018. https://emedicine.medscape.com/article/1834044-overview
9. Goyal A, Hill J, Singhal M. Pharmacological Cardioversion. StatPearls. 2023. https://www.ncbi.nlm.nih.gov/books/NBK470536/
11. Pluymaekers N.A.H.A, Dudink E.A.M.P, et al. Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation. ENJM. 2019;380(16)::1499-508 DOI: 10.1056/NEJMoa1900353
12. Emergency Care Institute New South Wales. Circulation - DC cardioversion. ACI Health NSW Goverment. 2020. https://aci.health.nsw.gov.au/networks/eci/clinical/procedures/procedures/575447
13. Shima N, Miyamoto K, Kato S, Yoshida T, et al. Primary success of electrical cardioversion for new-onset atrial fibrillation and its association with clinical course in noncardiac critically ill patients: sub-analysis of a multicenter observational study. Journal of Intensive Care. 2021;9(46):1-9 DOI: https://doi.org/10.1186/s40560-021-00562-8
14. Pritchard B, Thompson H. Procainamide. StatPearls. 2023. https://www.ncbi.nlm.nih.gov/books/NBK557788/
15. NHS Cambridge University Hospital. Cardioversion: General advice for after your procedure. National Health System UK. 2022. https://www.cuh.nhs.uk/patientinformation/cardioversion/#:~:text=Please%20monitor%20your%20heart%20rate,adjustments%20required%20to%20your%20medication
16. Kumar R, Gupta A, Isser H S. Narrow Complex Tachycardias—Therapeutic and Diagnostic Role of Adenosine. JAMA Intern Med. 2022;182(4):436-437 DOI:10.1001/jamainternmed.2021.7764

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