Cl Inical Effect of Propafenone and Electrical Cardioversion in Converting Atrial Fibrillation and Atrial Flutter
Objective:To study the effect of propafenone and electrical cardioversion in convert ing persistent at rial fibrillation and atrial flutter.Methods: Fif ty-f ive patients with persistent atrial fibrillateion and atrial flutter without HF underw ent a loading dose of propafenone administration before electrical cardio ver sion,then the patients receive propafenone maintenancetherapy.Results: Fifty patients were converted to sinus rhythm,the maintenance rate of sinus rhythm was 90.9%.Conclusions: propafenone and electrical cardioversion may provide an effective and safetive therapy in converting persistent atrial fibrillation and atrial flutter.
Intrathecal baclofen is a useful therapy in patients with spasticity. We describe a patient who underwent an intrathecal pump implant, complicated by epidural lipomatosis that ultimately required a single level laminectomy and fat debulking before successful implantation.