{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:21:59Z","timestamp":1762917719884},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2004,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec id=\"S1481803500006849_abs1\"><jats:title>Objective:<\/jats:title><jats:p>Paroxysmal atrial fibrillation (PAF) is the rhythm disturbance most commonly encountered by emergency physicians, yet the role played by emergency physicians in the management of this condition has not been well described. The purpose of this study was to describe the management of uncomplicated PAF by Canadian emergency physicians.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803500006849_abs2\"><jats:title>Methods:<\/jats:title><jats:p>All members of the Canadian Association of Emergency Physicians with a Canadian address (<jats:italic>n<\/jats:italic>= 1255) were mailed a 15-point questionnaire regarding training\/certification, hospital demographics and practice patterns regarding the management of uncomplicated PAF. Chisquared analysis and Fisher\u2019s Exact test were performed to identify significant differences in reported practice patterns in relation to demographic variables. Significant associations were tested for interaction using the Mantel\u2013Haenszel test.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803500006849_abs3\"><jats:title>Results:<\/jats:title><jats:p>We received 663 responses, representing a 52.8% response rate. Six hundred and twenty-two (95%), 514 (78%) and 242 (38%) respondents reported routine performance of rate control, chemical cardioversion and electrical cardioversion respectively. Physicians working in high-volume emergency departments (&amp;gt;50 000 visits\/yr) were significantly more likely to self-manage rate control and chemical\/electrical cardioversion than those working in lower volume emergency departments. Residency training was associated with higher performance of electrical (44% v. 31%,<jats:italic>p<\/jats:italic>&amp;lt; 0.01) but not chemical cardioversion or rate control, although, amongst residency trained physicians, those with FRCP-level training were significantly more likely to perform both chemical (86% v. 76%,<jats:italic>p<\/jats:italic>&amp;lt; 0.05) and electrical (57% v. 37%,<jats:italic>p<\/jats:italic>&amp;lt; 0.01) cardioversion.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803500006849_abs4\"><jats:title>Conclusion:<\/jats:title><jats:p>Canadian emergency physicians surveyed in this study actively manage uncomplicated PAF. We found significant variations in practice, especially related to the use of electrical cardioversion. This may reflect different practice environments, levels of training, and lack of evidence to guide best practice. Further research is required to determine the optimal care of PAF in the emergency department setting.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1481803500006849","type":"journal-article","created":{"date-parts":[[2016,7,15]],"date-time":"2016-07-15T05:54:46Z","timestamp":1468562086000},"page":"155-160","source":"Crossref","is-referenced-by-count":13,"title":["Cardioversion of uncomplicated paroxysmal atrial fibrillation: a survey of practice by Canadian emergency physicians"],"prefix":"10.1007","volume":"6","author":[{"given":"Bjug","family":"Borgundvaag","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Ovens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2015,5,21]]},"reference":[{"key":"S1481803500006849_ref19","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.94.7.1600"},{"key":"S1481803500006849_ref20","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.94.11.2968"},{"key":"S1481803500006849_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(91)90828-9"},{"key":"S1481803500006849_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.30.6.786"},{"key":"S1481803500006849_ref15","first-page":"41","volume":"68","year":"1991","journal-title":"Am J Cardiol"},{"key":"S1481803500006849_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(87)91178-7"},{"key":"S1481803500006849_ref14","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/j.0954-6820.1971.tb04358.x","volume":"189","year":"1971","journal-title":"Acta Medica Scandinavica"},{"key":"S1481803500006849_ref8","year":"1975"},{"key":"S1481803500006849_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(86)90964-1"},{"key":"S1481803500006849_ref7","year":"2000"},{"key":"S1481803500006849_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(90)90326-K"},{"key":"S1481803500006849_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(99)70300-8"},{"key":"S1481803500006849_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)90253-1"},{"key":"S1481803500006849_ref5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199507063330102"},{"key":"S1481803500006849_ref10","first-page":"634","volume":"9","year":"1988","journal-title":"Comparison of two regimens"},{"key":"S1481803500006849_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01587-X"},{"key":"S1481803500006849_ref3","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.93.6.1262"},{"key":"S1481803500006849_ref2","first-page":"1083","volume-title":"Rosen\u2019s emergency medicine: concepts and clinical practic","volume":"2","year":"2002"},{"key":"S1481803500006849_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00583-9"},{"key":"S1481803500006849_ref29","first-page":"1789","year":"2000","journal-title":"Lancet"},{"key":"S1481803500006849_ref28","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021375"},{"key":"S1481803500006849_ref27","first-page":"1825","volume":"347","year":"2002","journal-title":"A comparison of rate control and rhythm control in patients with atrial fibrillation. 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