Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion?
Abstract Introduction: Atrial fibrillation (AF) is the most common chronic arrhythmia in the elderly population. In symptomatic patients, restoration and maintenance of sinus rhythm improve quality of life. Unfortunately, AF recurrence still occurs in a considerable number of patients after cardiov...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/rbccv/v35n2/0102-7638-rbccv-2019-0166.pdf |
| _version_ | 1817990550758883328 |
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| author | Belma Yaman Levent Cerit Hatice Kemal Günsel Zeynep Cerit Songül Usalp Ümit Yüksek Uğur Coşkun Hamza Duygu Onur Akpınar |
| author_facet | Belma Yaman Levent Cerit Hatice Kemal Günsel Zeynep Cerit Songül Usalp Ümit Yüksek Uğur Coşkun Hamza Duygu Onur Akpınar |
| author_sort | Belma Yaman |
| collection | DOAJ |
| description | Abstract Introduction: Atrial fibrillation (AF) is the most common chronic arrhythmia in the elderly population. In symptomatic patients, restoration and maintenance of sinus rhythm improve quality of life. Unfortunately, AF recurrence still occurs in a considerable number of patients after cardioversion (CV). In this study, we aimed to evaluate the association between vitamin D (VitD) and AF recurrence after electrical or medical CV. Method: A total of 51 patients who underwent CV for symptomatic AF were included in the study. AF recurrence was defined as an AF pattern in 12-lead electrocardiography (ECG) recording after CV within 6 months or ECG Holter recording of AF lasting more than 30 seconds at 6-month follow-up. Results: Mean vitD level was 21.4 ng/ml in our study population. VitD level was lower in the AF recurrence group than in the non-recurrence group (18 ng/ml vs. 26.3 ng/ml, respectively; P=0.001). Additionally, left atrial diameter was larger in the AF recurrence group compared to the non-recurrence group (4.4 vs. 4.1, P=0.025). Patients with AF recurrence were older than patients without AF recurrence, and, although the prevalence of hypertension is higher in the AF recurrence group, there was no statistically significant difference (P=0.107, P=0.867). Conclusion: In our study, there is a strong association between vitD level and AF recurrence after CV. VitD deficiency might be a predictor of high risk of AF recurrence after CV and vitD supplementation during the follow-up might help the maintenance of sinus rhythm. |
| first_indexed | 2024-04-14T01:00:34Z |
| format | Article |
| id | doaj.art-7a6b16b485564f2c8deefc4c09aefe76 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-14T01:00:34Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-7a6b16b485564f2c8deefc4c09aefe762022-12-22T02:21:25ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974110.21470/1678-9741-2019-0166Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion?Belma YamanLevent CeritHatice Kemal GünselZeynep CeritSongül UsalpÜmit YüksekUğur CoşkunHamza DuyguOnur AkpınarAbstract Introduction: Atrial fibrillation (AF) is the most common chronic arrhythmia in the elderly population. In symptomatic patients, restoration and maintenance of sinus rhythm improve quality of life. Unfortunately, AF recurrence still occurs in a considerable number of patients after cardioversion (CV). In this study, we aimed to evaluate the association between vitamin D (VitD) and AF recurrence after electrical or medical CV. Method: A total of 51 patients who underwent CV for symptomatic AF were included in the study. AF recurrence was defined as an AF pattern in 12-lead electrocardiography (ECG) recording after CV within 6 months or ECG Holter recording of AF lasting more than 30 seconds at 6-month follow-up. Results: Mean vitD level was 21.4 ng/ml in our study population. VitD level was lower in the AF recurrence group than in the non-recurrence group (18 ng/ml vs. 26.3 ng/ml, respectively; P=0.001). Additionally, left atrial diameter was larger in the AF recurrence group compared to the non-recurrence group (4.4 vs. 4.1, P=0.025). Patients with AF recurrence were older than patients without AF recurrence, and, although the prevalence of hypertension is higher in the AF recurrence group, there was no statistically significant difference (P=0.107, P=0.867). Conclusion: In our study, there is a strong association between vitD level and AF recurrence after CV. VitD deficiency might be a predictor of high risk of AF recurrence after CV and vitD supplementation during the follow-up might help the maintenance of sinus rhythm.http://www.scielo.br/pdf/rbccv/v35n2/0102-7638-rbccv-2019-0166.pdfAtrial FibrillationElectric CountershockVitamin DPrevalenceQuality of LifeElectrocardiographyHeart AtriaHypertension |
| spellingShingle | Belma Yaman Levent Cerit Hatice Kemal Günsel Zeynep Cerit Songül Usalp Ümit Yüksek Uğur Coşkun Hamza Duygu Onur Akpınar Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion? Brazilian Journal of Cardiovascular Surgery Atrial Fibrillation Electric Countershock Vitamin D Prevalence Quality of Life Electrocardiography Heart Atria Hypertension |
| title | Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion? |
| title_full | Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion? |
| title_fullStr | Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion? |
| title_full_unstemmed | Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion? |
| title_short | Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion? |
| title_sort | is there any link between vitamin d and recurrence of atrial fibrillation after cardioversion |
| topic | Atrial Fibrillation Electric Countershock Vitamin D Prevalence Quality of Life Electrocardiography Heart Atria Hypertension |
| url | http://www.scielo.br/pdf/rbccv/v35n2/0102-7638-rbccv-2019-0166.pdf |
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