Key result
Selvester QRS score predicts ~220% higher odds of AF recurrence 12 months after electrical cardioversion.
Why the study?
AF recurrence after DCCV remains a challenge, and the Selvester QRS score estimates myocardial fibrosis burden and may carry predictive value for arrhythmia recurrence.
Does the Selvester QRS score predict AF recurrence within one year after successful direct current cardioversion in patients with persistent AF?
Population
506 patients with persistent AF who underwent successful DCCV
Comparison
Baseline Selvester QRS score computed from 12-lead ECG
Design
Retrospective single-centre observational study
Follow-up
12 months
Authors
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May aid post-DCCV AF recurrence risk assessment; hypothesis-generating and requires prospective validation.
Observational (n=506)
No
Does the Selvester QRS score predict AF recurrence within one year after successful direct current cardioversion in patients with persistent AF?
Odds Ratio: 3.205 (95% CI 2.525–4.068)
p-value: p=<0.001
A baseline Selvester QRS score ≥ 3 provides excellent diagnostic accuracy for predicting atrial fibrillation recurrence within 1 year after successful electrical cardioversion.
Can et al. (2026) conducted an observational in Persistent atrial fibrillation (n=506). Selvester QRS score was evaluated on Atrial fibrillation recurrence within 12 months (OR 3.205, 95% CI 2.525-4.068, p=<0.001). The Selvester QRS score independently predicted atrial fibrillation recurrence within 12 months after successful electrical cardioversion (OR 3.205; 95% CI 2.525-4.068).
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