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Gender Differences in Patients with Atrial Fibrillation Undergoing Electrical Cardioversion.

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Gender significantly influences atrial fibrillation (AF) management decisions. Fewer women, particularly older asymptomatic patients, underwent electrical cardioversion in Spain over the past decade.

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Area of Science:

  • Cardiology
  • Clinical Medicine
  • Public Health

Background:

  • Current atrial fibrillation (AF) management guidelines are more restrictive than in the past.
  • Gender may influence treatment decisions for AF, including electrical cardioversion.

Purpose of the Study:

  • To analyze gender-based clinical characteristics of patients undergoing electrical cardioversion.
  • To compare current practices with a previous survey conducted 8 years prior.

Main Methods:

  • Analysis of 915 patients from the CARDIOVERSE study in Spain.
  • Comparison of data with the previous REVERSE study.
  • Evaluation of clinical characteristics stratified by gender and age.

Main Results:

  • The majority of patients undergoing electrical cardioversion were men (76%).
  • Men were younger, more often asymptomatic, and had lower rates of hypertension and stroke risk.
  • The percentage of women undergoing electrical cardioversion decreased from 37% (REVERSE) to 24% (CARDIOVERSE), notably in patients over 65.

Conclusions:

  • Gender appears to be a significant factor in AF management strategy decisions.
  • A decline in women undergoing electrical cardioversion, especially older asymptomatic individuals, was observed over the last decade.