Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillation
Background: The best strategy to assess the association between symptoms and rhythm status (symptom-rhythm correlation) in patients with atrial fibrillation (AF) remains unclear. We aimed to determine the clinical utility of rhythm control by electrical cardioversion (ECV) to assess symptom-rhythm c...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-10-01
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| Series: | International Journal of Cardiology: Heart & Vasculature |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352906721001585 |
| _version_ | 1819156280884854784 |
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| author | Astrid N.L. Hermans Nikki A.H.A. Pluymaekers Theo A.R. Lankveld Manouk J.W. van Mourik Stef Zeemering Trang Dinh Dennis W. den Uijl Justin G.L.M. Luermans Kevin Vernooy Harry J.G.M. Crijns Ulrich Schotten Dominik Linz |
| author_facet | Astrid N.L. Hermans Nikki A.H.A. Pluymaekers Theo A.R. Lankveld Manouk J.W. van Mourik Stef Zeemering Trang Dinh Dennis W. den Uijl Justin G.L.M. Luermans Kevin Vernooy Harry J.G.M. Crijns Ulrich Schotten Dominik Linz |
| author_sort | Astrid N.L. Hermans |
| collection | DOAJ |
| description | Background: The best strategy to assess the association between symptoms and rhythm status (symptom-rhythm correlation) in patients with atrial fibrillation (AF) remains unclear. We aimed to determine the clinical utility of rhythm control by electrical cardioversion (ECV) to assess symptom-rhythm correlation in patients with persistent AF. Methods: We used ECV to examine symptom-rhythm correlation in 81 persistent AF patients. According to current clinical practice, the presence of self-reported symptoms before ECV and at the first outpatient clinic follow-up visit (within 1-month) was assessed to determine the prevalence of a symptom-rhythm correlation (defined as self-reported symptoms present during AF and absent in sinus rhythm or absent in AF and yet relief during sinus rhythm). In addition, we evaluated symptom patterns around ECV. Results: Only in 18 patients (22%), a symptom-rhythm correlation could be documented. Twenty-eight patients (35%) did not show any symptom-rhythm correlation and 35 patients (43%) had an unevaluable symptom-rhythm correlation as these patients were in symptomatic AF both at baseline and at the first outpatient AF clinic follow-up visit. Importantly, self-reported symptom patterns around ECV were intra-individually variable in 10 patients (12%) without symptom-rhythm correlation (of which 9 patients (11%) had AF recurrence) and in 2 patients (2%) with an unevaluable symptom-rhythm correlation. Conclusions: In patients with persistent AF, symptom assessment around rhythm control by ECV, once before ECV and once within 1-month follow-up, rarely identifies a symptom-rhythm correlation and often suggests changes in symptom pattern. Better strategies are needed to assess symptom-rhythm correlation in patients with persistent AF. |
| first_indexed | 2024-12-22T15:50:22Z |
| format | Article |
| id | doaj.art-068e8b82c512431b9a269db614bfcd40 |
| institution | Directory Open Access Journal |
| issn | 2352-9067 |
| language | English |
| last_indexed | 2024-12-22T15:50:22Z |
| publishDate | 2021-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology: Heart & Vasculature |
| spelling | doaj.art-068e8b82c512431b9a269db614bfcd402022-12-21T18:20:54ZengElsevierInternational Journal of Cardiology: Heart & Vasculature2352-90672021-10-0136100870Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillationAstrid N.L. Hermans0Nikki A.H.A. Pluymaekers1Theo A.R. Lankveld2Manouk J.W. van Mourik3Stef Zeemering4Trang Dinh5Dennis W. den Uijl6Justin G.L.M. Luermans7Kevin Vernooy8Harry J.G.M. Crijns9Ulrich Schotten10Dominik Linz11Department of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Physiology, Maastricht University and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Department of Cardiology, Radboud University Medical Center, Nijmegen, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Department of Cardiology, Radboud University Medical Center, Nijmegen, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Physiology, Maastricht University and Cardiovascular Research Institute Maastricht, Maastricht, the NetherlandsDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands; Department of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands; Center for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia; Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Corresponding author at: Department of Cardiology, Maastricht University Medical Center, 6202 AZ Maastricht, the Netherlands.Background: The best strategy to assess the association between symptoms and rhythm status (symptom-rhythm correlation) in patients with atrial fibrillation (AF) remains unclear. We aimed to determine the clinical utility of rhythm control by electrical cardioversion (ECV) to assess symptom-rhythm correlation in patients with persistent AF. Methods: We used ECV to examine symptom-rhythm correlation in 81 persistent AF patients. According to current clinical practice, the presence of self-reported symptoms before ECV and at the first outpatient clinic follow-up visit (within 1-month) was assessed to determine the prevalence of a symptom-rhythm correlation (defined as self-reported symptoms present during AF and absent in sinus rhythm or absent in AF and yet relief during sinus rhythm). In addition, we evaluated symptom patterns around ECV. Results: Only in 18 patients (22%), a symptom-rhythm correlation could be documented. Twenty-eight patients (35%) did not show any symptom-rhythm correlation and 35 patients (43%) had an unevaluable symptom-rhythm correlation as these patients were in symptomatic AF both at baseline and at the first outpatient AF clinic follow-up visit. Importantly, self-reported symptom patterns around ECV were intra-individually variable in 10 patients (12%) without symptom-rhythm correlation (of which 9 patients (11%) had AF recurrence) and in 2 patients (2%) with an unevaluable symptom-rhythm correlation. Conclusions: In patients with persistent AF, symptom assessment around rhythm control by ECV, once before ECV and once within 1-month follow-up, rarely identifies a symptom-rhythm correlation and often suggests changes in symptom pattern. Better strategies are needed to assess symptom-rhythm correlation in patients with persistent AF.http://www.sciencedirect.com/science/article/pii/S2352906721001585Atrial fibrillationElectrical cardioversionSymptom-rhythm correlation |
| spellingShingle | Astrid N.L. Hermans Nikki A.H.A. Pluymaekers Theo A.R. Lankveld Manouk J.W. van Mourik Stef Zeemering Trang Dinh Dennis W. den Uijl Justin G.L.M. Luermans Kevin Vernooy Harry J.G.M. Crijns Ulrich Schotten Dominik Linz Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillation International Journal of Cardiology: Heart & Vasculature Atrial fibrillation Electrical cardioversion Symptom-rhythm correlation |
| title | Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillation |
| title_full | Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillation |
| title_fullStr | Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillation |
| title_full_unstemmed | Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillation |
| title_short | Clinical utility of rhythm control by electrical cardioversion to assess the association between self-reported symptoms and rhythm status in patients with persistent atrial fibrillation |
| title_sort | clinical utility of rhythm control by electrical cardioversion to assess the association between self reported symptoms and rhythm status in patients with persistent atrial fibrillation |
| topic | Atrial fibrillation Electrical cardioversion Symptom-rhythm correlation |
| url | http://www.sciencedirect.com/science/article/pii/S2352906721001585 |
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