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Medical cardioversion of atrial fibrillation and flutter with class IC antiarrhythmic drugs in young patients with and without congenital heart disease.

Robert PrzybylskiLogan M EberlyMark E AlexanderVassilios J BezzeridesElizabeth S DeWittAudrey DionneDouglas Y MahJohn K TriedmanEdward P WalshEdward T O'Leary
Published in: Journal of cardiovascular electrophysiology (2023)
Flecainide was more effective than propafenone. We did not detect a difference in rate of conversion to sinus rhythm between patients with and without CHD and were likely underpowered to do so, however, there was a trend toward decreased likelihood of success in patients with CHD. That said, medical therapy was effective in >50% of patients with CHD with AF.
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