Is there any Link Between Vitamin D and Recurrence of Atrial Fibrillation after Cardioversion?
| Autor: | Ümit Yüksek, Songül Usalp, Hamza Duygu, Hatice Kemal Günsel, Belma Yaman, Ugur Coskun, Onur Akpınar, Zeynep Cerit, Levent Cerit |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty RD1-811 medicine.medical_treatment Electric Countershock 030204 cardiovascular system & hematology Cardioversion Electrocardiography 03 medical and health sciences 0302 clinical medicine Quality of life Recurrence Left atrial Internal medicine Atrial Fibrillation Prevalence medicine Vitamin D and neurology Diseases of the circulatory (Cardiovascular) system Humans Sinus rhythm Heart Atria Vitamin D Aged medicine.diagnostic_test business.industry Atrial fibrillation General Medicine Middle Aged medicine.disease Treatment Outcome RC666-701 Hypertension Quality of Life Cardiology Population study Original Article Female Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery Brazilian Journal of Cardiovascular Surgery, Volume: 35, Issue: 2, Pages: 191-197, Published: 10 FEB 2020 Brazilian Journal of Cardiovascular Surgery v.35 n.2 2020 Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
| ISSN: | 1678-9741 |
| DOI: | 10.21470/1678-9741-2019-0166 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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