Arrhythmias & electrophysiology

Manual Chest PRESSURE During Direct Current Cardioversion for Atrial Fibrillation: A Randomized Control Trial (PRESSURE-AF)

JACC Clin ElectrophysiolPublished Randomised controlled trial

Authors' conclusion

This study does not support the routine application of chest pressure for direct current cardioversion in atrial fibrillation

Study context

Population
Adults referred for direct current cardioversion for atrial fibrillation (AF) (anterior-posterior pads), 3 centres in New South Wales, Australia, 2021–2023
Participants
311 adults
Comparison
Manual chest pressure vs no chest pressure during direct current cardioversion
  • Interventionn = 158
  • Controln = 153reference
Primary endpoint
Total joules required per patient encounter
Methodological detailsmulticentre, investigator-initiated, double-blinded, Follow-up until hospital discharge
  • Multicentre
  • Investigator-initiated
  • Double-blinded
  • Follow-up until hospital discharge

Primary result

As reported in the abstract

Total joules per encounter

P = 0.19

Secondary outcomes

First shock success, total shocks, average impedance, cardioversion success

No difference

Original publication

Manual Chest PRESSURE During Direct Current Cardioversion for Atrial Fibrillation: A Randomized Control Trial (PRESSURE-AF). JACC Clin Electrophysiol. Published 2 September 2024. doi:10.1016/j.jacep.2024.05.037

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