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The EPIC Trial: Pad placement for cardioverting AF

epic trial papercut May 15, 2024

When cardioverting patients in new atrial fibrillation, we want our first attempt to be our best attempt. 

The EPIC Trial(1) (Electrode Position In cardioverting Atrial Fibrillation) helps us answer not only the question of pad position, but also energy selection.

What they did

This was a multicentre, investigator initiated, randomised open-label, blinded-outcome assessment trial.

N= 468

Patients in this study were adult patients that were having elective cardioversion, with biphasic defibrillators. They were randomised to anterior-lateral or anterior-posterior pad placemant.

Synchronised biphasic shocks were delivered. Read More

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