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Pre-treatment with antiarrhythmic drugs for elective electrical cardioversion of atrial fibrillation: a systematic review and network meta-analysis.

Kevin J UmWilliam F McIntyrePablo A MendozaOmar IbrahimStephanie T NguyenSabrina H LinEmmanuelle DuceppeBram RochwergJeff S HealeyAlex KoziarzAlexandra P LengyelAkash BhatnagarGuy AmitVictor A ChuRichard P WhitlockEmilie P Belley-Côté
Published in: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (2022)
Before electrical cardioversion of AF, treatment with Class III AADs or amiodarone improves the acute restoration of sinus rhythm. Amiodarone is most likely to improve the maintenance of sinus rhythm after electrical cardioversion, but Class Ic and Class III AADs are also effective.
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