Key result
One year after electrical cardioversion, the cardiovascular event rate was low, but atrial fibrillation recurrence was high, with 62.2% of patients experiencing at least one paroxysm.
Cohort (n=188)
No
Electrical cardioversion for atrial fibrillation has a high immediate success rate and low one-year cardiovascular event rate, but long-term maintenance of sinus rhythm is poor and anticoagulant discontinuation is common.
High AF recurrence post-cardioversion cautions against assuming sustained rhythm control; leaves open better patient selection for elective procedures.
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Knoka et al. (2017) conducted a cohort in Atrial fibrillation (n=188). Electrical cardioversion was evaluated on Atrial fibrillation recurrence at 1 year. One year after electrical cardioversion, the cardiovascular event rate was low, but atrial fibrillation recurrence was high, with 62.2% of patients experiencing at least one paroxysm.
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