On the other hand, the TOE-group showed a numerical trend towards more deaths. 85 While some studies show greater rates of successful restoration of sinus rhythm with TOE-guided cardioversion, 85 , 86 inconsistent results exist as to long-term maintenance of sinus rhythm. 85 , 89 Key points When no LA thrombus is identified on TOE, cardioversion can be performed safely, provided that sufficient anticoagulation is achieved before TOE.
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Cardioversion of atrial fibrillation and atrial flutter revisited: current evidence and practical guidance for a common procedure.
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