What question did this study set out to answer?

The study aims to identify clinical and echocardiographic parameters that predict the recurrence of atrial fibrillation.

October 1, 1997Journal of Ultrasound in MedicineOpen Access

Doppler echocardiographic parameters predictive of recurrence of atrial fibrillation of different etiologic origins.

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Why the study?

Do clinical and echocardiographic parameters predict the recurrence of atrial fibrillation in patients after cardioversion?

Key Points

The study aims to identify clinical and echocardiographic parameters that predict the recurrence of atrial fibrillation.
Followed 120 patients with non-rheumatic atrial fibrillation for 1 year after cardioversion.
Evaluated parameters including cause and duration of atrial fibrillation, peak A wave velocity, and left atrial dimension.
Performed univariate analysis to assess the influence of various parameters on recurrence.
72 patients maintained sinus rhythm, while 48 experienced recurrence of atrial fibrillation.
Peak A wave velocity was significantly associated with recurrence (P < 0.001), with lower values in the recurrence group.
Other significant factors included cause of atrial fibrillation (P < 0.001) and duration of arrhythmia (P = 0.002).

Structured PICO

Do clinical and echocardiographic parameters predict the recurrence of atrial fibrillation in patients after cardioversion?

Population

120 consecutive patients with non-rheumatic atrial fibrillation after cardioversion

Intervention

Evaluation of clinical and echocardiographic parameters (including peak A wave velocity, A wave integral, left atrial dimension, peak E wave velocity, acceleration/deceleration times, E wave integral)

Outcome

Recurrence of atrial fibrillation at 1 yearhard clinical

Echocardiographic parameters, specifically peak A wave velocity after cardioversion, are strong predictors of atrial fibrillation recurrence at 1 year.

Discussion

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Implication

May aid post-cardioversion risk stratification; hypothesis-generating and requires prospective validation before guiding practice.

Cite This Study

Mattioli et al. (1997) studied this question.

synapsesocial.com/papers/6a206fa3fb035751fb31731c https://doi.org/10.7863/jum.1997.16.10.695

Topics

Atrial fibrillation Persistent AF management Hypertension management AF ablation outcomes Anticoagulation in AF

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Doppler echocardiographic parameters predictive of recurrence of atrial fibrillation of different etiologic origins.

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Doppler echocardiographic parameters predictive of recurrence of atrial fibrillation of different etiologic origins.

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider