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Article: Does sinus rhythm beget sinus rhythm? Effects of prompt cardioversion on the frequency and persistence of recurrent atrial fibrillation.

TitleDoes sinus rhythm beget sinus rhythm? Effects of prompt cardioversion on the frequency and persistence of recurrent atrial fibrillation.
Authors
Issue Date2003
PublisherKluwer Academic Publishers. The Journal's web site is located at http://www.wkap.nl/journalhome.htm/1385-2264
Citation
Cardiac Electrophysiology Review, 2003, v. 7 n. 4, p. 359-365 How to Cite?
AbstractRecent clinical and experimental studies have demonstrated that atrial fibrillation (AF) alters the electrical and mechanical remodeling of the atrium, which subsequently promote the maintenance and recurrence of AF. If atrial remodeling can be prevented with prompt and repeated cardioversion, the likelihood of AF recurrence may be reduced. Recent clinical studies have demonstrated that the strategies of transesophageal echocardiography facilitated early cardioversion and early repeated cardioversion may be clinically valuable in some patients who have persistent AF and recurrence of arrhythmia after the initial cardioversion. Furthermore, the use an implantable atrial defibrillator (IAD) for early repeated device-based cardioversion to maintain sinus rhythm appears to be safe and clinically feasible. Early cardioversion by IAD reduces AF burden, reverses atrial remodeling and prevents subsequent AF recurrence in selected patients without structural heart disease implanted with this device, indicating possible "sinus rhythm begets sinus rhythm". Despite encouraging initial observations, further long-term clinical studies in a larger patient population are needed to confirm this finding. Furthermore, whether the use of IAD in the fully automatic mode to provide immediate termination of AF episodes could intensify the potential beneficial effect and the clinical efficacy of this approach in patients with structural heart disease needs to be evaluated.
Persistent Identifierhttp://hdl.handle.net/10722/163156
ISSN
2006 SCImago Journal Rankings: 0.951

 

DC FieldValueLanguage
dc.contributor.authorTse, HFen_US
dc.contributor.authorLau, CPen_US
dc.date.accessioned2012-09-05T05:28:14Z-
dc.date.available2012-09-05T05:28:14Z-
dc.date.issued2003en_US
dc.identifier.citationCardiac Electrophysiology Review, 2003, v. 7 n. 4, p. 359-365en_US
dc.identifier.issn1385-2264en_US
dc.identifier.urihttp://hdl.handle.net/10722/163156-
dc.description.abstractRecent clinical and experimental studies have demonstrated that atrial fibrillation (AF) alters the electrical and mechanical remodeling of the atrium, which subsequently promote the maintenance and recurrence of AF. If atrial remodeling can be prevented with prompt and repeated cardioversion, the likelihood of AF recurrence may be reduced. Recent clinical studies have demonstrated that the strategies of transesophageal echocardiography facilitated early cardioversion and early repeated cardioversion may be clinically valuable in some patients who have persistent AF and recurrence of arrhythmia after the initial cardioversion. Furthermore, the use an implantable atrial defibrillator (IAD) for early repeated device-based cardioversion to maintain sinus rhythm appears to be safe and clinically feasible. Early cardioversion by IAD reduces AF burden, reverses atrial remodeling and prevents subsequent AF recurrence in selected patients without structural heart disease implanted with this device, indicating possible "sinus rhythm begets sinus rhythm". Despite encouraging initial observations, further long-term clinical studies in a larger patient population are needed to confirm this finding. Furthermore, whether the use of IAD in the fully automatic mode to provide immediate termination of AF episodes could intensify the potential beneficial effect and the clinical efficacy of this approach in patients with structural heart disease needs to be evaluated.en_US
dc.languageengen_US
dc.publisherKluwer Academic Publishers. The Journal's web site is located at http://www.wkap.nl/journalhome.htm/1385-2264en_US
dc.relation.ispartofCardiac electrophysiology reviewen_US
dc.subject.meshAtrial Fibrillation - Physiopathology - Prevention & Control - Ultrasonographyen_US
dc.subject.meshDefibrillators, Implantableen_US
dc.subject.meshDisease Progressionen_US
dc.subject.meshEchocardiography, Doppler, Pulseden_US
dc.subject.meshEchocardiography, Transesophagealen_US
dc.subject.meshElectric Countershocken_US
dc.subject.meshHeart Atria - Physiopathologyen_US
dc.subject.meshHumansen_US
dc.subject.meshRecurrence - Prevention & Controlen_US
dc.subject.meshRetreatmenten_US
dc.subject.meshSignal Transduction - Physiologyen_US
dc.titleDoes sinus rhythm beget sinus rhythm? Effects of prompt cardioversion on the frequency and persistence of recurrent atrial fibrillation.en_US
dc.typeArticleen_US
dc.identifier.emailTse, HF:hftse@hkucc.hku.hken_US
dc.identifier.authorityTse, HF=rp00428en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid15071254-
dc.identifier.scopuseid_2-s2.0-4143129723en_US
dc.identifier.hkuros88009-
dc.identifier.hkuros113850-
dc.identifier.volume7en_US
dc.identifier.issue4en_US
dc.identifier.spage359en_US
dc.identifier.epage365en_US
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridTse, HF=7006070805en_US
dc.identifier.scopusauthoridLau, CP=7401968501en_US

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