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Electrical cardioversion (ECV) is commonly used to restore sinus rhythm in patients with symptomatic atrial fibrillation
.
In recent years, the European guidelines have been updated
Stroke
Recently, the heart blood vessels published on the prestigious journal JAHA the areas of disease research article, the researchers included all patients with acute or elective ECV for the first time during the 2011-2018 health care database in the Stockholm area, and missing 30 days after ECV Cox regression analysis was performed for strokes with bloody or unclear etiology, and the CHA2DS2-VASc score, drug treatment, and inclusion year were adjusted
.
Heart blood vessels
The study included 9139 patients, of which 3094 were acute ECV patients and 6045 were elective ECV patients
.
The average age of the subjects was 65.
9±11.
3 years, 69.
Kaplan-Meier curve of ischemic or non-specific stroke in patients with acute or elective cardioversion of atrial fibrillation
Compared with elective ECV, the adjusted risk after acute ECV is higher (hazard ratio [HR] is 2.
29; 95%CI is 1.
06-4.
96), but there is no difference after multivariate adjustment (adjusted HR is 0.
99; 95%CI) 0.
36-2.
72)
.
Compared with no anticoagulant, non-vitamin K oral anticoagulants (adjusted HR is 0.
Compared with elective ECV, acute ECV is associated with a higher risk of unadjusted stroke, but the risk is similar after adjusting for anticoagulant therapy
Original source:
Tomas Forslund.
et al.
Early Risk of Stroke in Patients Undergoing Acute Versus Elective Cardioversion for Atrial Fibrillation .
JAHA.
2021.
