Usefulness of risk scores and predictors of atrial fibrillation recurrence after elective electrical cardioversion
| Title: | Usefulness of risk scores and predictors of atrial fibrillation recurrence after elective electrical cardioversion |
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| Authors: | Daniel Águila‐Gordo, Javier Jiménez‐Díaz, Martín Negreira‐Caamaño, Jorge Martínez‐Del Rio, Cristina Ruiz‐Pastor, Ignacio Sánchez Pérez, Jesús Piqueras‐Flores |
| Source: | Annals of Noninvasive Electrocardiology, Vol 29, Iss 1, Pp n/a-n/a (2024) |
| Publisher Information: | Wiley, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: | atrial fibrillation recurrence, electrical cardioversion, SLAC score, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: | Abstract Introduction Electrical cardioversion (ECV) is a frequently used procedure for restoring sinus rhythm in atrial fibrillation (AF); however, the rate of recurrence is high. The identification of patients at high risk of recurrence could influence the decision‐making process. The present study evaluates the predictive value of risk scores in atrial fibrillation recurrence after elective electrical cardioversion. Methods Unicentric, observational, and prospective study of adult patients who have undergone an elective ECV as rhythm control strategy between July 2017 and September 2022. Results From the 283 analyzed patients (mean age 63.95 ± 10.76212, 74.9% male); 99 had paroxysmal AF (35%) and 159 (59%) presented AF recurrence during a follow‐up of 6 months. In patients with post‐ECV AF recurrence, the period of time from diagnosis until the performance of the procedure was longer (393 ± 891 vs. 195 ± 527, p = .02). No paroxysmal AF (71.3% vs. 57.8%, p = .02) and LA dilatation with >40 mL/m2 (35.9% vs. 23.3%, p = .02) volumes were more frequent within these patients. AF recurrence was more frequent in patients who had previous ECV (HR = 1.32; 95% CI: 1.12–2.35; p = .01) and more than 1 shock to recover sinus rhythm (HR = 1.62; 95% CI: 1.07–1.63; p = .01). The SLAC, ALARMEc, ATLAS, and CAAP‐AF scores were statistically significant, although with a moderate predictive capacity for post‐ECV recurrence. Conclusions Risk scores analyzed showed a modest value predicting AF recurrence after ECV. Previous ECV, and greater difficulty in restoring SR were independent predictors of recurrence. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1542-474X 1082-720X 29756642 |
| Relation: | https://doaj.org/toc/1082-720X; https://doaj.org/toc/1542-474X |
| DOI: | 10.1111/anec.13095 |
| Access URL: | https://doaj.org/article/50180d297566427b86db95f174ad3b61 |
| Accession Number: | edsdoj.50180d297566427b86db95f174ad3b61 |
| Database: | Directory of Open Access Journals |
| ISSN: | 1542474X 1082720X 29756642 |
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| DOI: | 10.1111/anec.13095 |
| Published in: | Annals of Noninvasive Electrocardiology |
| Language: | English |