Cardioversion strategy impacts quality of rate control during recurrences of atrial fibrillation

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چکیده

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main source(s): Netherlands Organization for Health Research and Development Introduction In the Rate Control versus Electrical Cardioversion Trial 7–Acute Wait See, patients with recent-onset atrial fibrillation (AF) were randomised to either early or delayed cardioversion. Purpose This pre-specified sub-analysis aimed evaluate heart rate during AF recurrences after an emergency department (ED) visit identified by electrocardiogram (ECG)-based handheld device. Methods After ED visit, included (n=437) asked use ECG-based device monitor four-week follow-up period. 335 used in this analysis. Recordings from collected assessed rhythm rate. Optimal control was defined as a target resting <110 bpm. Results 99 (29.6%, mean age 67±10 years, 39.4% female, median 6 [3-12] recordings) total 314 (median 2 [1-3] per patient) follow-up. The average at recurrence 100±21 bpm vs 112±25 cardioversion group (p=0.011). Additionally, maximum also significantly lower (115 [94-131] 136 [118-147], p=0.001). seen 68.4% [21.3-100%] performed recordings patient delayed, 33.3% [0-77.5%] (p=0.01). Randomisation (coefficient -12.09 (-20.55 - -3.63, p=0.006) cardioversion) on index ECG 0.46 (0.29-0.63, p<0.001) increase) multivariable adjusted factors associated recurrences. Conclusion A strategy translated into rates well peak Apart randomized treatment, influenced intrinsic presentation.

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ژورنال

عنوان ژورنال: Europace

سال: 2023

ISSN: ['1099-5129', '1532-2092']

DOI: https://doi.org/10.1093/europace/euad122.068