AFIB-0122 - Sequence # 4410 & 4420 | Attempt at Atrial Fibrillation Termination/DC Cardioversion-0122 - Sequence # 4410 & 4420 | Attempt at Atrial Fibrillation Termination/DC Cardioversion

0122 - Sequence # 4410 & 4420 | Attempt at Atrial Fibrillation Termination/DC Cardioversion

Video Transcription

Video Summary

In the video transcript, the case scenario for January 2022 from the AFib Ablation Registry is discussed. The focus is on the capture of attempts to terminate atrial fibrillation (AFib) in sequences 4410 and 4420. The patient, Mrs. Walker, was admitted for a catheter-based AFib ablation using cryoablation. She has a history of long-standing persistent AFib, an implantable cardioverter-defibrillator (ICD), congestive heart failure (CHF), hypertension, and documented ICD shocks for AFib. The question is whether the documented ICD shocks should be considered attempts to terminate AFib in sequence 4410. The correct answer is yes, even if the ICD shocks were deemed inappropriate, as they were administered to try and terminate the AFib rhythm. This would be coded as direct current cardioversion in sequence 4420.

Keywords

AFib Ablation Registry

atrial fibrillation

AFib termination attempts

cryoablation

ICD shocks