Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
April 15, 1997Annals of Internal Medicine

Risk for Clinical Thromboembolism Associated with Conversion to Sinus Rhythm in Patients with Atrial Fibrillation Lasting Less Than 48 Hours

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does conversion to sinus rhythm increase the risk of clinical thromboembolism in patients with atrial fibrillation lasting less than 48 hours?

Population

375 adults admitted to the hospital with atrial fibrillation lasting less than 48 hours. 181 patients had a…

Design

Cohort

Follow-up

index admission

Authors

MWMarilyn J. WeignerProvidence College

Discussion

Loading...

Member takes

Overview

Low thromboembolic rate after early cardioversion may support guidelines in AF <48 h; leaves open need for randomized confirmation.

Structured PICO

Does conversion to sinus rhythm increase the risk of clinical thromboembolism in patients with atrial fibrillation lasting less than 48 hours?

P
Population
375 adults (mean age 68 +/- 16 years) admitted to the hospital with atrial fibrillation lasting less than 48 hours. 181 patients (48.3%) had a history of atrial fibrillation; 23 (6.1%) had a history of thromboembolism.
I
Intervention
Conversion to sinus rhythm (spontaneous or active pharmacologic/electrical conversion)
O
Outcome
Incidence of cardioversion-related clinical thromboembolismhard clinical

The likelihood of cardioversion-related clinical thromboembolism is low (0.8%) in patients with atrial fibrillation lasting less than 48 hours, supporting current recommendations for early cardioversion.

Cite This Study

Marilyn J. Weigner (1997) studied this question.

synapsesocial.com/papers/6a81e2ff2ac899ae0206e3e4https://doi.org/10.7326/0003-4819-126-8-199704150-00005

Topics

Atrial fibrillationPersistent AF managementAnticoagulation in AFEchocardiography
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardioverting acute atrial fibrillation and the risk of thromboembolism: not all patients are created equal2017 · 22 citations
  2. 2Cardioversion in Acute Atrial Fibrillation Without Anticoagulation.2013 · 1 citations
  3. 3Time to Cardioversion for Acute Atrial Fibrillation and Thromboembolic Complications2014 · 168 citations
  4. 4Activation of the Hemostatic Mechanism After Pharmacological Cardioversion of Acute Nonvalvular Atrial Fibrillation1997 · 53 citations
  5. 5Is there a place for the late cardioversion of atrial fibrillation?. A long-term follow-up study of patients with post-thyrotoxic atrial fibrillation2000 · 93 citations