{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T12:37:42Z","timestamp":1754483862856},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"abstract":"<jats:p>Objetivos. Conocer la seguridad y eficacia de la cardioversi\u00f3n el\u00e9ctrica (CVE) en la fibrilaci\u00f3n auricular (FA) en un servicio de urgencias hospitalario (SUH). M\u00e9todo. Estudio observacional y retrospectivo realizado en un SUH. Se revisaron los episodios de FA en pacientes con edad igual o mayor a 18 a\u00f1os a los que se les realiz\u00f3 CVE en el SUH o se les program\u00f3 de forma diferida. Las variables resultado fueron: reversi\u00f3n a ritmo sinusal (RS), efectos adversos inmediatos (hipotensi\u00f3n, arritmia y broncoaspiraci\u00f3n), reconsulta a 90 d\u00edas por FA y desarrollo de complicaciones (ictus, hemorragia mayor, insuficiencia cardiaca y mortalidad). Se estudiaron los factores asociados a recurrencia y efectos adversos, y se analizaron las diferencias por sexo. Resultados. Se incluyeron 365 episodios de CVE (67 a\u00f1os; 38,6% mujeres); el 75,1% se realiz\u00f3 en el SUH y el 24,9% se derivaron para CVE diferida. El 90,7% revirtieron a RS. La CVE urgente fue m\u00e1s efectiva que la diferida (OR 4,258; IC 95% 2,046-8,859; p &lt; 0,001). No hubo efectos adversos inmediatos graves. El 16,7% de pacientes reconsultaron por FA en los 90 d\u00edas posteriores. Los factores asociados a reconsulta fueron insuficiencia cardiaca (HR 2,603; IC 95% 1,298-5,222; p = 0,007), apnea del sue\u00f1o (HR 2,598; IC 95% 1,163-5,803; p = 0,020) y, en mujeres, hipertensi\u00f3n arterial (HR 3,706;IC 95% 1,051-13,068; p = 0,042). Tras la CVE, 11 pacientes presentaron eventos adversos tard\u00edos que incluyeron ictus (n = 2), hemorragia mayor (n = 1), insuficiencia cardiaca (n = 5) y muerte (n = 3). Conclusiones. La CVE es \u00fatil, eficaz y segura para la FA en los SUH, aunque las recurrencias son frecuentes. Los factores asociados a recurrencia difieren entre sexos.<\/jats:p>","DOI":"10.55633\/s3me\/050.2024","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T09:53:25Z","timestamp":1718186005000},"source":"Crossref","is-referenced-by-count":2,"title":["Safety and efficacy of electric cardioversion in the emergency department: analysis of associated factors according to gender"],"prefix":"10.55633","author":[{"given":"Natalia","family":"Miota Hern\u00e1ndez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naila","family":"Canadell Marcos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Garc\u00eda-Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"del Olmo Vargas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Mass\u00f3 Muratel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ester","family":"Miravalles Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"S\u00e1nchez Marcos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laia","family":"Sent\u00eds Virgili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan Batista","family":"Valencia Molina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blanca","family":"Coll-Vinent Puig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2024,6,12]]},"container-title":["Emergencias"],"original-title":["Eficacia y seguridad de la cardioversi\u00f3n el\u00e9ctrica en urgencias. Factores asociados y perspectiva de sexo"],"deposited":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T09:53:25Z","timestamp":1718186005000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/eficacia-y-seguridad-de-la-cardioversion-electrica-en-urgencias-factores-asociados-y-perspectiva-de-sexo\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,12]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/050.2024","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,12]]}}}