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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

Blood pressure prior to cardioversion predicts a conversion to sinus rhythm in patients with atrial fibrillation

J Kaluzay1, M Ferencik, K Mardiakova

  • 14th Department of Internal Medicine, Faculty of Medicine and University Hospital, Comenius University, Bratislava, Slovakia. kaluzay@yahoo.com

Bratislavske Lekarske Listy
|June 4, 2008
PubMed

Insights

Lower blood pressure (BP) before cardioversion is linked to higher success rates in atrial fibrillation (AF) patients. This finding identifies BP as a key predictor for successful AF cardioversion.

Area of Science:

  • Cardiology
  • Medical Research

Background:

  • The impact of pre-cardioversion blood pressure (BP) on procedure success remains unexamined.
  • Atrial fibrillation (AF) affects a significant patient population requiring cardioversion.

Purpose of the Study:

  • To investigate the relationship between pre-cardioversion BP and the success rate of cardioversion in AF patients.
  • To identify predictors of successful cardioversion.

Main Methods:

  • Retrospective analysis of 92 cardioversions in 80 AF patients (mean age 62 years).
  • Non-invasive BP measurements taken prior to cardioversion.
  • Logistic regression analysis incorporating BP and various clinical factors.

Main Results:

  • Cardioversion success rate was 60.9%.
  • Successful cardioversions were associated with significantly lower mean, systolic, and diastolic BP.
  • Identified optimal BP cut-off values for predicting success.

Conclusions:

  • Lower pre-procedural BP is associated with successful cardioversion in AF patients.
  • Both BP and antiarrhythmic therapy are significant predictors of cardioversion success.
Abstract

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