Prediction of atrial fibrillation recurrence after cardioversion in patients with left-atrial dilation

作者: Cristina Fornengo , Marina Antolini , Simone Frea , Cristina Gallo , Walter Grosso Marra

DOI: 10.1093/EHJCI/JEU193

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摘要: Aims Little is known about the impact of left-ventricular (LV) diastolic dysfunction on risk atrial fibrillation (AF) recurrence in patients with left-atrial (LA) dilation. To evaluate, symptomatic persistent AF and LA dilation, incremental role LV predicting early after cardioversion (CV). Methods results From July 2011 to 2013, 175 referred our centre for CV were screened. Inclusion criteria were: European Heart Rhythm Association (EHRA) class ≥2 despite optimal medical treatment heart rate at rest ≤80 bpm, volume ≥34 mL/m2, EF > 35%, absence untreated ischaemic disease significant valvular disease, successful CV. Finally, 127 (age 64 ± 10 years, 60% EHRA ≥3, 42 15 mL/m2) enrolled. At 3 months, 37 (29%) presented recurrence. univariate analysis, duration >90 days before ( P 90 (OR 2.69 95% CI 1.01–7.53 0.04). ROC curve septal E/e′ ratio ≥11 showed best diagnostic accuracy (AUC 0.66, 0.55–0.76, 0.007). Conclusion In this population enlargement, predicted months.

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