{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:59:40Z","timestamp":1777046380072,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:00:00Z","timestamp":1776556800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardioversion is widely used to restore sinus rhythm in atrial fibrillation (AF) and atrial flutter (AFL), yet real\u2010world outcomes and predictors of success remain underexplored in populations with high rheumatic disease burden. The aim was to evaluate the success rate, in\u2010hospital complications, and predictors of cardioversion among patients presenting with AF or AFL in the emergency department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 324 patients who underwent cardioversion between December 2021 and March 2025. Demographic, clinical, and echocardiographic data were extracted. Outcomes assessed included cardioversion success and in\u2010hospital complications. Logistic regression identified independent predictors of success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 324 patients (median age 57\u2009years; 61.4% male), 80.9% had AF and 19.1% had AFL; 57.1% had persistent arrhythmia and 31.5% had rheumatic heart disease. Overall, 68.2% achieved successful cardioversion. Success differed by strategy: electrical cardioversion (ECV) 94.3%, pharmacological cardioversion (PCV) 40.9%, and mixed 74.3%. Complications occurred in 4.9%, and in\u2010hospital death occurred in 0.6%. In multivariable analysis, PCV (aOR 9.84;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), mixed cardioversion (aOR 4.38;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), and pre\u2010procedural class IV anti\u2010arrhythmic drug use (aOR 4.67;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043) were associated with higher odds of failure, whereas mineralocorticoid receptor antagonist use (aOR 0.50;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037) and electrophysiologist involvement (aOR 0.43;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037) were associated with lower odds of failure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In a real world with a high rheumatic disease burden, cardioversion achieved a two\u2010thirds success rate with a modest complication rate. ECV was most effective, and specific clinical predictors, including cardioversion strategy, medication use, and electrophysiologist involvement, were associated with outcomes. These findings provide actionable insights for optimizing acute rhythm\u2010control strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70342","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T06:47:41Z","timestamp":1776667661000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors and Outcomes of Pharmacological and Electrical Cardioversion for Atrial Fibrillation and Flutter in an Indian Emergency Department: A Retrospective Study"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7812-8042","authenticated-orcid":false,"given":"Abid M.","family":"Sadiq","sequence":"first","affiliation":[{"name":"Department of Cardiology Narayana Institute of Cardiac Sciences  Bengaluru India"},{"name":"Faculty of Medicine KCMC University  Moshi Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhavana","family":"Keerthiparti","sequence":"additional","affiliation":[{"name":"Department of Cardiology Narayana Institute of Cardiac Sciences  Bengaluru India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kapil","family":"Kumawat","sequence":"additional","affiliation":[{"name":"Department of Cardiology Narayana Institute of Cardiac Sciences  Bengaluru India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Padmanabhan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Narayana Institute of Cardiac Sciences  Bengaluru India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euaa057"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.019927"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32994-0"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013255.pub2"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4236\/wjcd.2024.1411062"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2021.08.018"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2007.01298.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22276"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.17925\/EJAE.2022.8.1.25"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12031165"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.86747"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eut106"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2016.01.018"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.15420\/aer.2017:3:2"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2015.10.168"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa612"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001193"},{"key":"e_1_2_11_19_1","first-page":"280","article-title":"Predictors 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