THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERY
Aim. To estimate probability of atrial fibrillation (AF) recurrence at various methods of sinus rhythm recovery. Material and methods. Patients (n=153) with nonvalvular AF lasting from 24 hours to 6 months were examined. All patients were divided into 3 groups. In group 1 (n=49) sinus rhythm was res...
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| Format: | Article |
| Language: | English |
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Столичная издательская компания
2016-06-01
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| Series: | Рациональная фармакотерапия в кардиологии |
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| Online Access: | https://www.rpcardio.online/jour/article/view/1270 |
| _version_ | 1797232229663899648 |
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| author | T. Y. Gromyko S. A. Sayganov |
| author_facet | T. Y. Gromyko S. A. Sayganov |
| author_sort | T. Y. Gromyko |
| collection | DOAJ |
| description | Aim. To estimate probability of atrial fibrillation (AF) recurrence at various methods of sinus rhythm recovery. Material and methods. Patients (n=153) with nonvalvular AF lasting from 24 hours to 6 months were examined. All patients were divided into 3 groups. In group 1 (n=49) sinus rhythm was restored by the drug therapy, in the group 2 (n=57) – by the electrical cardioversion, and in the group 3 (n=47) patients underwent radio-frequency isolation of pulmonary veins. Echocardiography was performed in all patients during AF, and also on the 1, 3, 5, 15 days and in 6 months after sinus rhythm recovery. Results. The absence of AF paroxysms within first 2 weeks after sinus rhythm recovery was a significant predictor of sinus rhythm preservation (р<0.001) and reduction in a number of AF paroxysms р<0.001 during 6 months of follow-up. Emergence of AF paroxysms during the first 2 weeks predicted an increase of their probability within next 6 months (odds ratio=15.37). Significant interrelation between the time of left atrium function restoration (peak A<0.5m/s) and probability of AF paroxysms emergence in early (up to 2 weeks) and late (till 6 months) follow-up periods was also observed (р<0.05). Conclusions. Peak A>0.5 m/s measured by transmitral flow in the first 24 hours after sinus rhythm recovery as well as absence of AF paroxysms within 2 first weeks after sinus rhythm recovery were significant predictors of the sinus rhythm preservation up to 6 months at any type of cardioversion. |
| first_indexed | 2024-03-08T14:03:05Z |
| format | Article |
| id | doaj.art-64528f994bc640b1836a167e5d2210b3 |
| institution | Directory Open Access Journal |
| issn | 1819-6446 2225-3653 |
| language | English |
| last_indexed | 2024-04-24T15:56:58Z |
| publishDate | 2016-06-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj.art-64528f994bc640b1836a167e5d2210b32024-04-01T07:43:33ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-06-0112328529010.20996/1819-6446-2016-12-3-285-2901218THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERYT. Y. Gromyko0S. A. Sayganov1North-Western State Medical University named after I.I. Mechnikov. Kirochnaya ul. 41, Saint-Petersburg, 191015 RussiaNorth-Western State Medical University named after I.I. Mechnikov. Kirochnaya ul. 41, Saint-Petersburg, 191015 RussiaAim. To estimate probability of atrial fibrillation (AF) recurrence at various methods of sinus rhythm recovery. Material and methods. Patients (n=153) with nonvalvular AF lasting from 24 hours to 6 months were examined. All patients were divided into 3 groups. In group 1 (n=49) sinus rhythm was restored by the drug therapy, in the group 2 (n=57) – by the electrical cardioversion, and in the group 3 (n=47) patients underwent radio-frequency isolation of pulmonary veins. Echocardiography was performed in all patients during AF, and also on the 1, 3, 5, 15 days and in 6 months after sinus rhythm recovery. Results. The absence of AF paroxysms within first 2 weeks after sinus rhythm recovery was a significant predictor of sinus rhythm preservation (р<0.001) and reduction in a number of AF paroxysms р<0.001 during 6 months of follow-up. Emergence of AF paroxysms during the first 2 weeks predicted an increase of their probability within next 6 months (odds ratio=15.37). Significant interrelation between the time of left atrium function restoration (peak A<0.5m/s) and probability of AF paroxysms emergence in early (up to 2 weeks) and late (till 6 months) follow-up periods was also observed (р<0.05). Conclusions. Peak A>0.5 m/s measured by transmitral flow in the first 24 hours after sinus rhythm recovery as well as absence of AF paroxysms within 2 first weeks after sinus rhythm recovery were significant predictors of the sinus rhythm preservation up to 6 months at any type of cardioversion.https://www.rpcardio.online/jour/article/view/1270atrial fibrillationthromboembolic disorderscardioversionsinus rhythm recovery |
| spellingShingle | T. Y. Gromyko S. A. Sayganov THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERY Рациональная фармакотерапия в кардиологии atrial fibrillation thromboembolic disorders cardioversion sinus rhythm recovery |
| title | THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERY |
| title_full | THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERY |
| title_fullStr | THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERY |
| title_full_unstemmed | THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERY |
| title_short | THE PREDICTION OF ATRIAL FIBRILLATION RECURRENCE AT VARIOUS METHODS OF SINUS RHYTHM RECOVERY |
| title_sort | prediction of atrial fibrillation recurrence at various methods of sinus rhythm recovery |
| topic | atrial fibrillation thromboembolic disorders cardioversion sinus rhythm recovery |
| url | https://www.rpcardio.online/jour/article/view/1270 |
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