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A review of factors associated with maintenance of sinus rhythm after elective electrical cardioversion for atrial fibrillation
Authors:Veronika Ecker  Charles Knoery  Gordon Rushworth  Ian Rudd  Astrid Ortner  David Begley  Stephen J. Leslie
Affiliation:1. Institute for Pharmaceutical Sciences, Karl‐Franzens‐Universit?t, Graz, Austria;2. NHS Highland, Assynt House, Beechwood Park, Inverness, UK;3. Highland Pharmacy Education & Research Centre, Centre for Health Science, Inverness, UK;4. Cardiac Department, Royal Papworth Hospital, Papworth Everard, Cambridge, UK;5. Department of Diabetes & Cardiovascular Science, University of the Highlands and Islands, Centre for Health Science, Inverness, UK
Abstract:Atrial fibrillation is the most common heart‐rhythm disorder, affecting about 1.5% to 2% of the population with an increased risk of mortality and morbidity due to stroke, thromboembolism, and heart failure. If the conversion back to sinus rhythm does not happen spontaneously, pharmacological or electrical cardioversion (ECV) is the next available treatment options for some patients. However, the long‐term success following ECV is variable. This review describes the factors that are associated with maintenance of sinus rhythm following ECV and proposes a clinical strategy based on the available evidence.
Keywords:Atrial Fibrillation  Electrical Cardioversion  Sinus Rhythm
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