Predictive factors of regularization and maintenance of sinus rhythm in chronic atrial fibrillation

The aim in treating chronic atrial fibrillation, is not limited to simply achieving immediate regularization. What matters, is sustaining the sinus rhythm. The various methods of regularization, using either medical procedures or cardioversion, involve constraints and risks. Investigation of the rel...

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Bibliographic Details
Published inAnnales de cardiologie et d'angéiologie Vol. 41; no. 6; p. 327
Main Authors Théolade, R, Chauvin, M, Metz, D, Chabert, J P, Bajolet, A, Brechenmacher, C
Format Journal Article
LanguageFrench
Published France 01.06.1992
Subjects
Age Factors
Anti-Arrhythmia Agents - therapeutic use
Atrial Fibrillation - physiopathology
Atrial Fibrillation - therapy
Atrial Function
Cardiomegaly - complications
Chronic Disease
Electric Countershock
Electrocardiography
Heart Valve Diseases - complications
Humans
Predictive Value of Tests
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Summary:The aim in treating chronic atrial fibrillation, is not limited to simply achieving immediate regularization. What matters, is sustaining the sinus rhythm. The various methods of regularization, using either medical procedures or cardioversion, involve constraints and risks. Investigation of the relapse predicting factor is of great value in evaluating the benefit/risk ratio. For regularization, the absence ultrasound signs of heart disease, an undilated left atrium, recent atrial fibrillation and all forms of heart disease which are curable, albeit surgically, are indicative of success. With regard to prophylaxis, relapses occur more frequently in cases involving mitral valve disease, long-standing atrial fibrillation or a dilated left atrium.
ISSN:0003-3928