Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation
Atrial fibrillation (AF) is the most common atrial tachyarrhythmia. One of the methods of AF treatment is direct current cardioversion (DCCV), but in the long-term follow-up we observe quite a high percentage of AF recurrences after this procedure. In order to assess the prognosis of DCCV effectiven...
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| Format: | Article |
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MDPI AG
2023-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/15/5158 |
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| author | Paweł Wałek Joanna Roskal-Wałek Patryk Dłubis Beata Wożakowska-Kapłon |
| author_facet | Paweł Wałek Joanna Roskal-Wałek Patryk Dłubis Beata Wożakowska-Kapłon |
| author_sort | Paweł Wałek |
| collection | DOAJ |
| description | Atrial fibrillation (AF) is the most common atrial tachyarrhythmia. One of the methods of AF treatment is direct current cardioversion (DCCV), but in the long-term follow-up we observe quite a high percentage of AF recurrences after this procedure. In order to assess the prognosis of DCCV effectiveness, we use clinical, biochemical and echocardiographic parameters. The objective of this review is to systematise the current knowledge on echocardiographic measurements in patients with persistent AF used to assess the progress of remodelling of the atrial wall, which affects the likelihood of maintaining sinus rhythm after DCCV. In this article, echocardiographic parameters for the evaluation of remodelling of the atrial wall are divided into groups referring to structural, mechanical, and electrical remodelling, as well as parameters for the evaluation of left ventricular filling pressure. The article aims to draw attention to the clinical value of echocardiographic measurements, which is the selection of patients who will maintain sinus rhythm after DCCV in the long-term follow-up, which will allow to avoid unnecessary risks associated with the procedure and enable the selection of the appropriate treatment strategy. |
| first_indexed | 2024-03-11T00:23:01Z |
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| id | doaj.art-008e3b9fab3d41c3934fead78fba54f0 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T00:23:01Z |
| publishDate | 2023-08-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-008e3b9fab3d41c3934fead78fba54f02023-11-18T23:10:08ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011215515810.3390/jcm12155158Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial FibrillationPaweł Wałek0Joanna Roskal-Wałek1Patryk Dłubis2Beata Wożakowska-Kapłon3Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, PolandCollegium Medicum, Jan Kochanowski University, 25-317 Kielce, PolandCollegium Medicum, Jan Kochanowski University, 25-317 Kielce, PolandCollegium Medicum, Jan Kochanowski University, 25-317 Kielce, PolandAtrial fibrillation (AF) is the most common atrial tachyarrhythmia. One of the methods of AF treatment is direct current cardioversion (DCCV), but in the long-term follow-up we observe quite a high percentage of AF recurrences after this procedure. In order to assess the prognosis of DCCV effectiveness, we use clinical, biochemical and echocardiographic parameters. The objective of this review is to systematise the current knowledge on echocardiographic measurements in patients with persistent AF used to assess the progress of remodelling of the atrial wall, which affects the likelihood of maintaining sinus rhythm after DCCV. In this article, echocardiographic parameters for the evaluation of remodelling of the atrial wall are divided into groups referring to structural, mechanical, and electrical remodelling, as well as parameters for the evaluation of left ventricular filling pressure. The article aims to draw attention to the clinical value of echocardiographic measurements, which is the selection of patients who will maintain sinus rhythm after DCCV in the long-term follow-up, which will allow to avoid unnecessary risks associated with the procedure and enable the selection of the appropriate treatment strategy.https://www.mdpi.com/2077-0383/12/15/5158atrial fibrillationtissue Dopplerstrainstrain rateremodellingechocardiography |
| spellingShingle | Paweł Wałek Joanna Roskal-Wałek Patryk Dłubis Beata Wożakowska-Kapłon Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation Journal of Clinical Medicine atrial fibrillation tissue Doppler strain strain rate remodelling echocardiography |
| title | Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation |
| title_full | Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation |
| title_fullStr | Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation |
| title_full_unstemmed | Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation |
| title_short | Echocardiographic Evaluation of Atrial Remodelling for the Prognosis of Maintaining Sinus Rhythm after Electrical Cardioversion in Patients with Atrial Fibrillation |
| title_sort | echocardiographic evaluation of atrial remodelling for the prognosis of maintaining sinus rhythm after electrical cardioversion in patients with atrial fibrillation |
| topic | atrial fibrillation tissue Doppler strain strain rate remodelling echocardiography |
| url | https://www.mdpi.com/2077-0383/12/15/5158 |
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