2001
DOI: 10.1016/s0002-9343(01)00716-1
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Early cardioversion of atrial fibrillation facilitated by transesophageal echocardiography: short-term safety and impact on maintenance of sinus rhythm at 1 year

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Cited by 64 publications
(16 citation statements)
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“…A prolonged (>90 days) pre‐ECV duration of AF was a further, univariate negative predictor of the immediate success rate of ECV. This result reinforces the need to attempt early ECV to obtain higher immediate and delayed success rates, 16 although, in our experience, ECV was successful, at least short‐term, even in some patients who underwent the procedure 1 year after the onset of AF. It might be hypothesized that the reduced immediate efficacy of ECV in our older patients was the consequence of their higher prevalence of comorbid conditions such as COPD, which, using univariate analysis, was associated with a significantly lower success rate of ECV.…”
Section: Discussionsupporting
confidence: 81%
“…A prolonged (>90 days) pre‐ECV duration of AF was a further, univariate negative predictor of the immediate success rate of ECV. This result reinforces the need to attempt early ECV to obtain higher immediate and delayed success rates, 16 although, in our experience, ECV was successful, at least short‐term, even in some patients who underwent the procedure 1 year after the onset of AF. It might be hypothesized that the reduced immediate efficacy of ECV in our older patients was the consequence of their higher prevalence of comorbid conditions such as COPD, which, using univariate analysis, was associated with a significantly lower success rate of ECV.…”
Section: Discussionsupporting
confidence: 81%
“…TEE guidance is an alternative to 3 weeks of anticoagulation prior to cardioversion (164, 343). Therapeutic anticoagulation is achieved, followed by a TEE; if no thrombus is seen (including in the LAA), cardioversion is performed and anticoagulation is continued for a ≥4 weeks.…”
Section: Rhythm Controlmentioning
confidence: 99%
“…Early reoccurrence of AF after successful cardioversion is a problem in some human patients also 6–8 . In humans, the chronicity of AF before cardioversion affects the duration of sinus rhythm after cardioversion; specifically, maintenance of sinus rhythm is unlikely when AF has been present for more than 12 months 9,10 .…”
mentioning
confidence: 99%