| Blood pressure prior to cardioversion predicts a conversion to sinus rhythm in patients with atrial fibrillation. | |
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MedLine Citation:
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PMID: 18517134 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The effect of BP measured prior to the cardioversion has not been studied. METHODS: Eighty patients (mean age 62 +/- 11 yrs, 44 men) with atrial fibrillation (AF), who underwent 92 cardioversions, were included. Non-invasive BP was measured. We performed a retrospective review of clinical data. The variables included into logistic regression analysis were: BP, age, gender, arterial hypertension, coronary artery disease, heart failure, obesity, left atrial diameter, duration of AF, antiarrhythmic and antihypertensive therapy. RESULTS: A success rate of cardioversion was 60.9%. BP was lower in the group of patients with a successful cardioversion (mean BP 97 +/- 15 vs 104 +/- 10 mmHg, p = 0.02; systolic BP 130 +/- 21 vs 140 +/- 18 mmHg, p=0.02; diastolic BP 81 +/- 14 vs 86 +/- 8 mmHg, p = 0.07). Mean, systolic and diastolic BP cut-off levels with the highest sum of sensitivity and specificity were 103, 138 and 75 mmHg, respectively. CONCLUSIONS: Subjects with a successful cardioversion had lower BP measured immediately prior to the procedure. BP and concurrent antiarrhythmic treatment were the only predictors of a successful cardioversion (Tab. 1, Ref. 29). Full Text (Free, PDF) www.bmj.sk. |
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Authors:
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J Kaluzay; M Ferencik; K Mardiakova; S Remisova |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Bratislavské lekárske listy Volume: 109 ISSN: 0006-9248 ISO Abbreviation: Bratisl Lek Listy Publication Date: 2008 |
Date Detail:
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Created Date: 2008-06-03 Completed Date: 2008-06-25 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0065324 Medline TA: Bratisl Lek Listy Country: Slovakia |
Other Details:
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Languages: eng Pagination: 116-20 Citation Subset: IM |
Affiliation:
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4th Department of Internal Medicine, Faculty of Medicine and University Hospital, Comenius University, Bratislava, Slovakia. kaluzay@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Atrial Fibrillation / physiopathology, therapy* Blood Pressure* Electric Countershock* Female Humans Male Middle Aged |
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