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

J. Kaluzay, Maros Ferencik, K. Mardiakova, S. Remisova

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The effect of BP measured prior to the cardioversion has not been studied. Methods: Eighty patients (mean age 62±11 yrs, 44 men) with atrial fibrillation (AF), who underwent 92 cardioversions, were included. Non-invasive BP was measured. We performed a retrospective review of clinical data. The variables included into logistic regression analysis were: BP, age, gender, arterial hypertension, coronary artery disease, heart failure, obesity, left atrial diameter, duration of AF, antiarrhythmic and antihypertensive therapy. Results: A success rate of cardioversion was 60.9%. BP was lower in the group of patients with a successful cardioversion (mean BP 97±15 vs 104±10 mmHg, p=0.02; systolic BP 130±21 vs 140±18 mmHg, p=0.02; diastolic BP 81±14 vs 86±8 mmHg, p=0.07). Mean, systolic and diastolic BP cut-off levels with the highest sum of sensitivity and specificity were 103, 138 and 75 mmHg, respectively. Conclusions: Subjects with a successful cardioversion had lower BP measured immediately prior to the procedure. BP and concurrent antiarrhythmic treatment were the only predictors of a successful cardioversion (Tab. 1, Ref. 29).

Original languageEnglish (US)
Pages (from-to)116-120
Number of pages5
JournalBratislavské lekárske listy
Volume109
Issue number3
StatePublished - 2008
Externally publishedYes

Fingerprint

Electric Countershock
Atrial Fibrillation
Blood Pressure
Antihypertensive Agents
Coronary Artery Disease
Heart Failure
Obesity
Logistic Models
Regression Analysis
Hypertension
Sensitivity and Specificity
Therapeutics

Keywords

  • Arterial hypertension
  • Atrial fibrillation
  • Blood pressure
  • Direct-current cardioversion
  • Electrical cardioversion

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Blood pressure prior to cardioversion predicts a conversion to sinus rhythm in patients with atrial fibrillation. / Kaluzay, J.; Ferencik, Maros; Mardiakova, K.; Remisova, S.

In: Bratislavské lekárske listy, Vol. 109, No. 3, 2008, p. 116-120.

Research output: Contribution to journalArticle

@article{28f4d665508041a9994990842585d0fb,
title = "Blood pressure prior to cardioversion predicts a conversion to sinus rhythm in patients with atrial fibrillation",
abstract = "Background: The effect of BP measured prior to the cardioversion has not been studied. Methods: Eighty patients (mean age 62±11 yrs, 44 men) with atrial fibrillation (AF), who underwent 92 cardioversions, were included. Non-invasive BP was measured. We performed a retrospective review of clinical data. The variables included into logistic regression analysis were: BP, age, gender, arterial hypertension, coronary artery disease, heart failure, obesity, left atrial diameter, duration of AF, antiarrhythmic and antihypertensive therapy. Results: A success rate of cardioversion was 60.9{\%}. BP was lower in the group of patients with a successful cardioversion (mean BP 97±15 vs 104±10 mmHg, p=0.02; systolic BP 130±21 vs 140±18 mmHg, p=0.02; diastolic BP 81±14 vs 86±8 mmHg, p=0.07). Mean, systolic and diastolic BP cut-off levels with the highest sum of sensitivity and specificity were 103, 138 and 75 mmHg, respectively. Conclusions: Subjects with a successful cardioversion had lower BP measured immediately prior to the procedure. BP and concurrent antiarrhythmic treatment were the only predictors of a successful cardioversion (Tab. 1, Ref. 29).",
keywords = "Arterial hypertension, Atrial fibrillation, Blood pressure, Direct-current cardioversion, Electrical cardioversion",
author = "J. Kaluzay and Maros Ferencik and K. Mardiakova and S. Remisova",
year = "2008",
language = "English (US)",
volume = "109",
pages = "116--120",
journal = "Bratislavske Lekarske Listy",
issn = "0006-9248",
publisher = "Comenius University",
number = "3",

}

TY - JOUR

T1 - Blood pressure prior to cardioversion predicts a conversion to sinus rhythm in patients with atrial fibrillation

AU - Kaluzay, J.

AU - Ferencik, Maros

AU - Mardiakova, K.

AU - Remisova, S.

PY - 2008

Y1 - 2008

N2 - Background: The effect of BP measured prior to the cardioversion has not been studied. Methods: Eighty patients (mean age 62±11 yrs, 44 men) with atrial fibrillation (AF), who underwent 92 cardioversions, were included. Non-invasive BP was measured. We performed a retrospective review of clinical data. The variables included into logistic regression analysis were: BP, age, gender, arterial hypertension, coronary artery disease, heart failure, obesity, left atrial diameter, duration of AF, antiarrhythmic and antihypertensive therapy. Results: A success rate of cardioversion was 60.9%. BP was lower in the group of patients with a successful cardioversion (mean BP 97±15 vs 104±10 mmHg, p=0.02; systolic BP 130±21 vs 140±18 mmHg, p=0.02; diastolic BP 81±14 vs 86±8 mmHg, p=0.07). Mean, systolic and diastolic BP cut-off levels with the highest sum of sensitivity and specificity were 103, 138 and 75 mmHg, respectively. Conclusions: Subjects with a successful cardioversion had lower BP measured immediately prior to the procedure. BP and concurrent antiarrhythmic treatment were the only predictors of a successful cardioversion (Tab. 1, Ref. 29).

AB - Background: The effect of BP measured prior to the cardioversion has not been studied. Methods: Eighty patients (mean age 62±11 yrs, 44 men) with atrial fibrillation (AF), who underwent 92 cardioversions, were included. Non-invasive BP was measured. We performed a retrospective review of clinical data. The variables included into logistic regression analysis were: BP, age, gender, arterial hypertension, coronary artery disease, heart failure, obesity, left atrial diameter, duration of AF, antiarrhythmic and antihypertensive therapy. Results: A success rate of cardioversion was 60.9%. BP was lower in the group of patients with a successful cardioversion (mean BP 97±15 vs 104±10 mmHg, p=0.02; systolic BP 130±21 vs 140±18 mmHg, p=0.02; diastolic BP 81±14 vs 86±8 mmHg, p=0.07). Mean, systolic and diastolic BP cut-off levels with the highest sum of sensitivity and specificity were 103, 138 and 75 mmHg, respectively. Conclusions: Subjects with a successful cardioversion had lower BP measured immediately prior to the procedure. BP and concurrent antiarrhythmic treatment were the only predictors of a successful cardioversion (Tab. 1, Ref. 29).

KW - Arterial hypertension

KW - Atrial fibrillation

KW - Blood pressure

KW - Direct-current cardioversion

KW - Electrical cardioversion

UR - http://www.scopus.com/inward/record.url?scp=57049122904&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=57049122904&partnerID=8YFLogxK

M3 - Article

C2 - 18517134

AN - SCOPUS:57049122904

VL - 109

SP - 116

EP - 120

JO - Bratislavske Lekarske Listy

JF - Bratislavske Lekarske Listy

SN - 0006-9248

IS - 3

ER -