Atrial fibrillation after electrical cardioversion in elderly patients: a role for arterial stiffness? Results from a preliminary study

被引：10

作者：

Fumagalli, Stefano ^{[1
,2
]}

Giannini, Ilaria ^{[1
,2
]}

Pupo, Simone ^{[1
,2
]}

Agostini, Francesca ^{[3
]}

Boni, Serena ^{[1
,2
]}

Roberts, Anna T. ^{[1
,2
]}

Gabbai, Debbie ^{[1
,2
]}

Di Serio, Claudia ^{[1
,2
]}

Gabbani, Luciano ^{[1
,2
]}

Tarantini, Francesca ^{[1
,2
]}

Marchionni, Niccolo ^{[1
,2
]}

机构：

[1] Univ Florence, Geriatr Intens Care Unit, Expt & Clin Med Dept, Florence, Italy

[2] AOU Careggi, Florence, Italy

[3] Univ Florence, Sch Nursing, Florence, Italy

来源：

AGING CLINICAL AND EXPERIMENTAL RESEARCH | 2016年 / 28卷 / 06期

关键词：

Arterial stiffness; Atrial fibrillation; CAVI; CHA2DS2-VASc; Elderly; Electrical cardioversion; PULSE PRESSURE; RISK; CHA(2)DS(2)-VASC; PREDICTION; AMIODARONE; CHADS(2);

D O I：

10.1007/s40520-016-0620-8

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Atrial fibrillation (AF) is the most frequent arrhythmia of the elderly, and electrical cardioversion (ECV) is a common procedure, although incidence of recurrences remains high. We evaluated the possible association between arterial stiffness (AS) and the persistence or recurrence of AF in elderly patients after ECV. We enrolled all subjects undergoing ECV over a 9-month period. AS was evaluated with the cardio-ankle vascular index (CAVI). Patients were then visited at follow-up (on average at 6 months). Thirty-one patients (age 78 +/- A 7 years; men 67.7 %; CHA(2)DS(2)-VASc 4.1 +/- A 1.6; AF length > 2 months 51.6 %; CAVI 9.9 +/- A 1.6) underwent ECV. At follow-up, sinus rhythm was recorded in 16 (51.6 %) patients. At multivariate analysis, the presence of AF was directly associated with CHA(2)DS(2)-VASc score and CAVI. Amiodarone therapy reduced the risk of relapsed AF. In elderly AF patients treated with ECV, AS at baseline seems to predict AF at follow-up.

引用

页码：1273 / 1277

页数：5

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