Abstract
Adolescents and young adults with congenital heart disease are at risk for atrial flutter requiring repeated cardioversions. Minimizing the energy needed for successful cardioversion is advantageous. This prospective study was undertaken at 4 institutions to compare the energy required for cardioversion of atrial flutter using monophasic versus biphasic waveforms in a group of 21 patients (pt) (6 females/15 males) who underwent 27 cardioversions after randomization to either a biphasic (Bi), n=14, or monophasic (Mono), n=13, waveform.
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