Document Detail


Atrial stunning as predictor of early relapse into atrial fibrillation after cardioversion.
MedLine Citation:
PMID:  16378649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although the high rate of success after cardioversion, less than 50% of patients maintain sinus rhythm for the first year. In view for the high percentage of relapse into atrial fibrillation, it is interesting to analyze the relationship between atrial stunning after cardioversion and relapse into atrial fibrillation. Thus, we evaluated 101 patients with atrial fibrillation and successful cardioversion. Atrial mechanical function was assessed by measures of transmitral peak A wave velocity, determined before and weekly after cardioversion during 1 month. Fifty-five percent of patient relapse into atrial fibrillation during follow-up. No significant differences were found in clinical and echocardiographic variables between the group with and without relapse. However, the group of patients who relapsed into atrial fibrillation showed a lower peak A wave velocity immediately after cardioversion than patients who maintain in sinus rhythm at month (0.44+/-0.27 vs. 0.60+/-0.38 m/s p<0.01). Impaired atrial function improves during the first 14 days after cardioversion.
Authors:
Vicente Climent; Francisco Marín; Jose Vicente Monmeneu; Fernando García de Burgos; Francisco Sogorb
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Publication Detail:
Type:  Comment; Letter     Date:  2005-12-27
Journal Detail:
Title:  International journal of cardiology     Volume:  110     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-12     Completed Date:  2006-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  427-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Atrial Fibrillation / diagnosis*,  therapy*
Electric Countershock*
Humans
Middle Aged
Prognosis
Recurrence
Time Factors
Comments/Corrections
Comment On:
Int J Cardiol. 2005 Jul 20;102(3):487-91   [PMID:  16004895 ]

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