Monophasic and Biphasic Shock for Transthoracic Conversion of Atrial Fibrillation: Systematic Review and Network Meta-analysis

References

Defibrillation Inácio, J. F. S., Rosa, M. D. S. G. da, Shah, J., Rosário, J., Vissoci, J. R. N., Manica, A. L. L., & Rodrigues, C. G., 2016. Monophasic and Biphasic Shock for Transthoracic Conversion of Atrial Fibrillation: Systematic Review and Network Meta-analysis. Resuscitation, 100, 66–75. http://doi.org/10.1016/j.resuscitation.2015.12.009

Conclusion

The evidences points to a Biphasic waveform superiority over Monophasic to perform AF cardioversion, supporting current guidelines to use less energy when using a Biphasic defibrillator. It is suggested that the Biphasic defibrillators from PhysioControl ADAPTIV, Philips SMART and ZOLL Rectilinear have similar efficacy and the use of any of them may result in similar chances, energy and number of shocks to achieve successful AF cardioversion.