Document Detail

Blood pressure prior to cardioversion predicts a conversion to sinus rhythm in patients with atrial fibrillation.
MedLine Citation:
PMID:  18517134     Owner:  NLM     Status:  MEDLINE    
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)
J Kaluzay; M Ferencik; K Mardiakova; S Remisova
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Bratislavské lekárske listy     Volume:  109     ISSN:  0006-9248     ISO Abbreviation:  Bratisl Lek Listy     Publication Date:  2008  
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-06-25     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0065324     Medline TA:  Bratisl Lek Listy     Country:  Slovakia    
Other Details:
Languages:  eng     Pagination:  116-20     Citation Subset:  IM    
4th Department of Internal Medicine, Faculty of Medicine and University Hospital, Comenius University, Bratislava, Slovakia.
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MeSH Terms
Aged, 80 and over
Atrial Fibrillation / physiopathology,  therapy*
Blood Pressure*
Electric Countershock*
Middle Aged

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