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
| Autor: | Trang Dinh, Harry J.G.M. Crijns, Theo Lankveld, Justin G.L.M. Luermans, Ulrich Schotten, Astrid N L Hermans, Dennis W. den Uijl, Manouk J.W. van Mourik, Dominik Linz, Stef Zeemering, Kevin Vernooy, Nikki A H A Pluymaekers |
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| Přispěvatelé: | Cardiologie, RS: Carim - H01 Clinical atrial fibrillation, MUMC+: MA Med Staf Artsass Cardiologie (9), Fysiologie, RS: Carim - H08 Experimental atrial fibrillation, MUMC+: MA Med Staf Spec Cardiologie (9), RS: Carim - H06 Electro mechanics, MUMC+: MA Cardiologie (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] Catheter ablation Electrical cardioversion All institutes and research themes of the Radboud University Medical Center Rhythm Symptom-rhythm correlation Internal medicine medicine Diseases of the circulatory (Cardiovascular) system Outpatient clinic Sinus rhythm CATHETER ABLATION business.industry Atrial fibrillation Unevaluable medicine.disease RC666-701 Arterial stiffness Cardiology Cardiology and Cardiovascular Medicine business ARTERIAL STIFFNESS BURDEN |
| Zdroj: | International journal of cardiology. Heart & vasculature, 36 Hermans, A N L, Pluymaekers, N A H A, Lankveld, T A R, van Mourik, M J W, Zeemering, S, Dinh, T, den Uijl, D W, Luermans, J G L M, Vernooy, K, Crijns, H J G M, Schotten, U & Linz, D 2021, ' 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 ', IJC Heart and Vasculature, vol. 36, 100870 . https://doi.org/10.1016/j.ijcha.2021.100870 IJC Heart and Vasculature, 36:100870. Elsevier Ireland Ltd International Journal of Cardiology: Heart & Vasculature, Vol 36, Iss, Pp 100870-(2021) |
| ISSN: | 2352-9067 |
| DOI: | 10.1016/j.ijcha.2021.100870 |
| Popis: | 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 symptomrhythm 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. |
| Databáze: | OpenAIRE |
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