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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Cardiol+Res+Pract
2016 ; 2016
(ä): 4139596
Nephropedia Template TP
gab.com Text
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English Wikipedia
Impact of Additional Transthoracic Electrical Cardioversion on Cardiac Function
and Atrial Fibrillation Recurrence in Patients with Persistent Atrial
Fibrillation Who Underwent Radiofrequency Catheter Ablation
#MMPMID27022500
Wang D
; Zhang F
; Wang A
Cardiol Res Pract
2016[]; 2016
(ä): 4139596
PMID27022500
show ga
Backgrounds and Objective. During the procession of radiofrequency catheter
ablation (RFCA) in persistent atrial fibrillation (AF), transthoracic electrical
cardioversion (ECV) is required to terminate AF. The purpose of this study was to
determine the impact of additional ECV on cardiac function and recurrence of AF.
Methods and Results. Persistent AF patients received extensive encircling
pulmonary vein isolation (PVI) and additional line ablation. Patients were
divided into two groups based on whether they need transthoracic electrical
cardioversion to terminate AF: electrical cardioversion (ECV group) and
nonelectrical cardioversion (NECV group). Among 111 subjects, 35 patients were
returned to sinus rhythm after ablation by ECV (ECV group) and 76 patients had AF
termination after the ablation processions (NECV group). During the 12-month
follow-ups, the recurrence ratio of patients was comparable in ECV group (15/35)
and NECV group (34/76) (44.14% versus 44.74%, P = 0.853). Although left atrial
diameters (LAD) decreased significantly in both groups, there were no significant
differences in LAD and left ventricular cardiac function between ECV group and
NECV group. Conclusions. This study revealed that ECV has no significant impact
on the maintenance of SR and the recovery of cardiac function. Therefore, ECV
could be applied safely to recover SR during the procedure of catheter ablation
of persistent atrial fibrillation.