Australasian Emergency Nursing Journal
Volume 12, Issue 3 , Pages 120-122, August 2009

R-on-T resulting in ventricular fibrillation post elective cardioversion: A case study

Emergency Department, Calvary Health Care ACT, ACT, Australia

Received 24 March 2009; received in revised form 22 April 2009; accepted 22 May 2009.

Summary 

Elective cardioversion is a common and effective therapy for many atrial arrhythmias, however the procedure is not without risk. One risk from cardioversion is the R-on-T phenomenon. This article provides an overview of anatomy and physiology relating to R-on-T, a case of R-on-T following elective cardioversion for atrial fibrillation and important considerations for elective cardioversion in the emergency department environment.

Keywords: Elective cardioversion, R-on-T, Emergency department

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PII: S1574-6267(09)00080-9

doi:10.1016/j.aenj.2009.05.004

Australasian Emergency Nursing Journal
Volume 12, Issue 3 , Pages 120-122, August 2009

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