Autonomic modulation of the sinus node following electrical cardioversion of persistent atrial fibrillation: relation with early recurrence

Bertaglia, Emanuele; Zoppo, Franco; Bonanno, Carlo; Pellizzari, Nicola; Frigato, Nicoletta; Pascotto, Pietro

doi:10.1016/j.ijcard.2004.05.013

Cited by 16 publications

(8 citation statements)

References 15 publications

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“…Increased vagal tone has been associated with the early recurrence of AF after electrical cardioversion 15. In the present study, the slope of the Group 1 scatter plot matches with that of the slope of the lower arm of Group 2, suggesting that Group 1 has parasympathetic dominance.…”

Section: Discussionsupporting

confidence: 81%

Patterns of baseline autonomic nerve activity and the development of pacing-induced sustained atrial fibrillation

et al. 2011

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Section: Discussionsupporting

confidence: 81%

Patterns of baseline autonomic nerve activity and the development of pacing-induced sustained atrial fibrillation

et al. 2011

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“…They reported that esophageal stimulation decreases the heart rate, increases the high-frequency spectral component and reduces the low-frequency power, thus suggesting that esophageal stimulation potentiates the efferent vagal nerve activity. These autonomic trends are the same as those observed prior to the initiation of paroxysmal AF (27) and the early recurrence of persistent AF following electrical cardioversion (28,29). Therefore, GERD is linked to AF from the autonomic viewpoint, although it is unknown whether this link is causative or correlative.…”

Section: Mechanisms Underlying the Development Of Gerdrelated Afsupporting

confidence: 56%

Further Assessment of Atrial Fibrillation as a Risk Factor for Gastroesophageal Reflux Disease: A Multicenter Questionnaire Survey

et al. 2013

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Objective Although both atrial fibrillation (AF) and gastroesophageal reflux disease (GERD) are common diseases, the relationship between these two conditions remains controversial, depending on the study design and type of AF. Therefore, we focused on the relationship between nonvalvular AF and GERD. Methods A total of 479 consecutive subjects (255 men and 224 women, mean age: 60.4 ± 12.8 years), including outpatients at several hospitals (n=201) and participants of an annual health screening program (n= 278), were enrolled. Subjects with valvular AF, malignancy or dementia were excluded. The frequency scale for symptoms of GERD (F-scale) was applied after obtaining each patient's informed consent for screening symptomatic GERD with a total cutoff score of 8 points. The score on the questionnaire was correlated with the baseline characteristics extracted from the patients' medical records. Results The total F-scale scores were significantly higher in the older patients (! 60 years) than in the younger patients (<60 years) (p=0.017) and increased in the following order: permanent AF > paroxysmal AF > sinus rhythm (p=0.003). The incidence of GERD increased in the same order among the patients with the various heart rhythm classifications (p<0.001). Coronary heart disease, hypertension, diabetes and dyslipidemia were not correlated with the F-scale scores or incidence of GERD. The stepwise discriminant analyses demonstrated that nonvalvular AF alone was significantly associated with symptomatic GERD (Wilks' lambda=0.983, p=0.004). Conclusion This multicenter study demonstrated that nonvalvular AF is significantly correlated with symptomatic GERD. This small sample survey warrants a future study of a large-scale cohort.

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“…8 -11 Furthermore, there is support for the notion that autonomic modulation influences early recurrences after electrical cardioversion. 12,13 Epidemiologic data on the prevalence or prognosis of autonomic AF are presently lacking. Furthermore, there is no controlled study examining the response to therapy in vagal or adrenergic AF.…”

Section: Introductionmentioning

confidence: 99%

Autonomic trigger patterns and anti-arrhythmic treatment of paroxysmal atrial fibrillation: data from the Euro Heart Survey

Vos

Nieuwlaat

Crijns

et al. 2008

European Heart Journal

100

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Autonomic modulation of the sinus node following electrical cardioversion of persistent atrial fibrillation: relation with early recurrence

Cited by 16 publications

References 15 publications

Patterns of baseline autonomic nerve activity and the development of pacing-induced sustained atrial fibrillation

Patterns of baseline autonomic nerve activity and the development of pacing-induced sustained atrial fibrillation

Further Assessment of Atrial Fibrillation as a Risk Factor for Gastroesophageal Reflux Disease: A Multicenter Questionnaire Survey

Autonomic trigger patterns and anti-arrhythmic treatment of paroxysmal atrial fibrillation: data from the Euro Heart Survey

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