Cardioversion of atrial fibrillation in the elderly. ALKK-Study Group. Arbeitsgemeinschaft Leitender Kardiologischer Krankenhausaerzte

The American Journal of Cardiology
J CarlssonS Miketić

Abstract

The purpose of this investigation was to define cardioversion success rates, frequency of complications of cardioversion, and current treatment practices in elderly patients (aged > or = 65 years) with atrial fibrillation (AF). The results were compared with those in younger patients (aged < 65 years). The investigation was a prospective multicenter observational study with 61 participating cardiology clinics. Consecutive patients in whom cardioversion of AF was planned had to be prospectively registered. Of 1,152 patients registered, 570 (49.5%) were < 65 years old (group 1) and 582 (50.5%) were > or = 65 years (group 2). The overall success rate of cardioversion on an intention-to-treat basis was 76.1% in group 1 and 72.7% in group 2 (p = 0.18). In multivariate analysis, left atrial size and New York Heart Association functional class before cardioversion were identified as predictors of success (p < 0.001, respectively; p = 0.025). These clinical factors were not equally distributed between the age groups: Left atrial size was larger in the elderly than in younger patients (44.0 +/- 6.4 mm vs 42.8 +/- 6.4 mm; p = 0.006) and a New York Heart Association functional class > or = II was more prevalent in group 2 than in group 1 ...Continue Reading

Citations

Aug 14, 2003·Pacing and Clinical Electrophysiology : PACE·Craig R Asher, Allan L Klein
Jun 2, 2000·Pacing and Clinical Electrophysiology : PACE·J CarlssonY D Rosenberg
Jul 23, 2002·Journal of the American Geriatrics Society·Stefano FumagalliNiccolò Marchionni
Nov 14, 2002·Drugs & Aging·Guy ChatapJean-Pierre Vincent
Oct 6, 2005·European Heart Journal·Robby NieuwlaatUNKNOWN European Heart Survey Investigators
Apr 21, 1999·Journal of Cardiovascular Electrophysiology·B J Gersh
May 11, 2001·The New England Journal of Medicine·A L KleinUNKNOWN Assessment of Cardioversion Using Transesophageal Echocardiography Investigators
Jan 21, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michael NabauerGerhard Steinbeck
Feb 1, 1998·Herzschrittmachertherapie & Elektrophysiologie·J CarlssonUNKNOWN die ALKK-Studiengruppe
May 3, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Thomas MeinertzUNKNOWN ATRIUM investigators
Aug 28, 2013·Herzschrittmachertherapie & Elektrophysiologie·Ralph F BoschHendrik Bonnemeier

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