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Article: Is there a role for repeated cardioversion in patients with recurrent atrial fibrillation?

TitleIs there a role for repeated cardioversion in patients with recurrent atrial fibrillation?
Authors
KeywordsAtrial fibrillation
Cardioversion
Issue Date2003
PublisherMedcom Limited. The Journal's web site is located at http://www.medicine.org.hk/hkcc/journal/home.htm
Citation
Journal of Hong Kong College of Cardiology, 2003, v. 11 n. 3, p. 90-96 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 this encouraging initial observation, 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 remains to be evaluated. (J HK Coll Cardiol 2003;11:90-96)
Persistent Identifierhttp://hdl.handle.net/10722/76611
ISSN
2015 SCImago Journal Rankings: 0.102

 

DC FieldValueLanguage
dc.contributor.authorTse, HFen_HK
dc.contributor.authorLau, CPen_HK
dc.date.accessioned2010-09-06T07:23:04Z-
dc.date.available2010-09-06T07:23:04Z-
dc.date.issued2003en_HK
dc.identifier.citationJournal of Hong Kong College of Cardiology, 2003, v. 11 n. 3, p. 90-96en_HK
dc.identifier.issn1027-7811en_HK
dc.identifier.urihttp://hdl.handle.net/10722/76611-
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 this encouraging initial observation, 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 remains to be evaluated. (J HK Coll Cardiol 2003;11:90-96)-
dc.languageengen_HK
dc.publisherMedcom Limited. The Journal's web site is located at http://www.medicine.org.hk/hkcc/journal/home.htmen_HK
dc.relation.ispartofJournal of Hong Kong College of Cardiologyen_HK
dc.subjectAtrial fibrillation-
dc.subjectCardioversion-
dc.titleIs there a role for repeated cardioversion in patients with recurrent atrial fibrillation?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1027-7811&volume=11&spage=90&epage=6&date=2003&atitle=Is+there+a+role+for+repeated+cardioversion+in+patients+with+recurrence+atrial+fibrillation?en_HK
dc.identifier.emailTse, HF: hftse@hkucc.hku.hken_HK
dc.identifier.emailLau, CP: cplau@hku.hken_HK
dc.identifier.authorityTse, HF=rp00428en_HK
dc.identifier.hkuros100978en_HK

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