Determinants of recurrent atrial flutter after cardioversion
Eighteen male patients (mean age 59 years) who were electrically cardioverted for pure atrial flutter were retrospectively studied to determine those factors influencing the maintenance of regular sinus rhythm or reversion to atrial flutter. Six months after successful cardioversion, 10 patients (55...
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| Veröffentlicht in: | British Heart Journal 1983-07, Vol.50 (1), p.92-96 |
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| creator | Pozen, R G Pastoriza, J Rozanski, J J Kessler, K M Myerburg, R J |
| description | Eighteen male patients (mean age 59 years) who were electrically cardioverted for pure atrial flutter were retrospectively studied to determine those factors influencing the maintenance of regular sinus rhythm or reversion to atrial flutter. Six months after successful cardioversion, 10 patients (55%) had recurrent atrial flutter and eight patients (45%) were still in sinus rhythm. The two groups were not significantly different with respect to age, symptomatology, abnormalities on the 12 lead electrocardiogram (during sinus rhythm), or the administration of digoxin and a class Ia antiarrhythmic agent (after cardioversion). There was a trend for those patients with recurrent atrial flutter to have a higher incidence of underlying heart disease and previous episodes of atrial flutter than the non-recurrent group. There were statistically significant differences between the recurrent and non-recurrent groups with respect to echocardiographically determined left atrial size and left ventricular ejection fraction. Patients with a left atrial size greater than 45 mm or with an ejection fraction less than 45% were all at high risk for recurrent atrial flutter after successful cardioversion. |
| doi_str_mv | 10.1136/hrt.50.1.92 |
| format | Article |
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Six months after successful cardioversion, 10 patients (55%) had recurrent atrial flutter and eight patients (45%) were still in sinus rhythm. The two groups were not significantly different with respect to age, symptomatology, abnormalities on the 12 lead electrocardiogram (during sinus rhythm), or the administration of digoxin and a class Ia antiarrhythmic agent (after cardioversion). There was a trend for those patients with recurrent atrial flutter to have a higher incidence of underlying heart disease and previous episodes of atrial flutter than the non-recurrent group. There were statistically significant differences between the recurrent and non-recurrent groups with respect to echocardiographically determined left atrial size and left ventricular ejection fraction. Patients with a left atrial size greater than 45 mm or with an ejection fraction less than 45% were all at high risk for recurrent atrial flutter after successful cardioversion.</description><identifier>ISSN: 0007-0769</identifier><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>EISSN: 2053-5864</identifier><identifier>DOI: 10.1136/hrt.50.1.92</identifier><identifier>PMID: 6860517</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Aged ; Atrial Flutter - etiology ; Atrial Flutter - physiopathology ; Electric Countershock ; Heart - physiopathology ; Heart Diseases - complications ; Humans ; Male ; Middle Aged ; Recurrence ; Retrospective Studies</subject><ispartof>British Heart Journal, 1983-07, Vol.50 (1), p.92-96</ispartof><rights>Copyright BMJ Publishing Group LTD Jul 1983</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-1d273322c9cba4738cf9a562a68d105fbe174e94e72bd6c3286d19aed4e1fc853</citedby><cites>FETCH-LOGICAL-b472t-1d273322c9cba4738cf9a562a68d105fbe174e94e72bd6c3286d19aed4e1fc853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC481376/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC481376/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6860517$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pozen, R G</creatorcontrib><creatorcontrib>Pastoriza, J</creatorcontrib><creatorcontrib>Rozanski, J J</creatorcontrib><creatorcontrib>Kessler, K M</creatorcontrib><creatorcontrib>Myerburg, R J</creatorcontrib><title>Determinants of recurrent atrial flutter after cardioversion</title><title>British Heart Journal</title><addtitle>Br Heart J</addtitle><description>Eighteen male patients (mean age 59 years) who were electrically cardioverted for pure atrial flutter were retrospectively studied to determine those factors influencing the maintenance of regular sinus rhythm or reversion to atrial flutter. Six months after successful cardioversion, 10 patients (55%) had recurrent atrial flutter and eight patients (45%) were still in sinus rhythm. The two groups were not significantly different with respect to age, symptomatology, abnormalities on the 12 lead electrocardiogram (during sinus rhythm), or the administration of digoxin and a class Ia antiarrhythmic agent (after cardioversion). There was a trend for those patients with recurrent atrial flutter to have a higher incidence of underlying heart disease and previous episodes of atrial flutter than the non-recurrent group. There were statistically significant differences between the recurrent and non-recurrent groups with respect to echocardiographically determined left atrial size and left ventricular ejection fraction. Patients with a left atrial size greater than 45 mm or with an ejection fraction less than 45% were all at high risk for recurrent atrial flutter after successful cardioversion.</description><subject>Aged</subject><subject>Atrial Flutter - etiology</subject><subject>Atrial Flutter - physiopathology</subject><subject>Electric Countershock</subject><subject>Heart - physiopathology</subject><subject>Heart Diseases - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><issn>0007-0769</issn><issn>1355-6037</issn><issn>1468-201X</issn><issn>2053-5864</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kUtv1DAUhS1EVYaWFWukSEjdoAx-xQ8JFmigFNRCF7x2luPcUA9J3NpOVf49Hs1oeCzY2Nc637XP9UHoMcFLQph4fhXzsin1UtN7aEG4UDXF5Nt9tMAYyxpLoR-ghymty5FrJQ7RoVACN0Qu0IvXkCGOfrJTTlXoqwhujhGmXNkcvR2qfphzQSrbb1ZnY-fDLcTkw3SMDno7JHi024_Q59M3n1Zn9fnHt-9Wr87rlkuaa9JRyRilTrvWcsmU67VtBLVCdQQ3fQtEctAcJG074RhVoiPaQseB9E417Ai93N57PbcjdK64i3Yw19GPNv40wXrztzL5K_M93BquCJOi9J_s-mO4mSFlM_rkYBjsBGFORuGGcqxxAZ_-A67DHKcymyFSYlL-j9NCPdtSLoaUIvR7JwSbTSKmJGKaUhu9oZ_8aX7P7iIoer3Vfcpwt5dt_GGEZLIxH76sjHx_ydnXywuDfw_Tjuv_PvwL6MKjlg</recordid><startdate>19830701</startdate><enddate>19830701</enddate><creator>Pozen, R G</creator><creator>Pastoriza, J</creator><creator>Rozanski, J J</creator><creator>Kessler, K M</creator><creator>Myerburg, R J</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19830701</creationdate><title>Determinants of recurrent atrial flutter after cardioversion</title><author>Pozen, R G ; Pastoriza, J ; Rozanski, J J ; Kessler, K M ; Myerburg, R J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-1d273322c9cba4738cf9a562a68d105fbe174e94e72bd6c3286d19aed4e1fc853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Aged</topic><topic>Atrial Flutter - etiology</topic><topic>Atrial Flutter - physiopathology</topic><topic>Electric Countershock</topic><topic>Heart - physiopathology</topic><topic>Heart Diseases - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pozen, R G</creatorcontrib><creatorcontrib>Pastoriza, J</creatorcontrib><creatorcontrib>Rozanski, J J</creatorcontrib><creatorcontrib>Kessler, K M</creatorcontrib><creatorcontrib>Myerburg, R J</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pozen, R G</au><au>Pastoriza, J</au><au>Rozanski, J J</au><au>Kessler, K M</au><au>Myerburg, R J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of recurrent atrial flutter after cardioversion</atitle><jtitle>British Heart Journal</jtitle><addtitle>Br Heart J</addtitle><date>1983-07-01</date><risdate>1983</risdate><volume>50</volume><issue>1</issue><spage>92</spage><epage>96</epage><pages>92-96</pages><issn>0007-0769</issn><issn>1355-6037</issn><eissn>1468-201X</eissn><eissn>2053-5864</eissn><abstract>Eighteen male patients (mean age 59 years) who were electrically cardioverted for pure atrial flutter were retrospectively studied to determine those factors influencing the maintenance of regular sinus rhythm or reversion to atrial flutter. Six months after successful cardioversion, 10 patients (55%) had recurrent atrial flutter and eight patients (45%) were still in sinus rhythm. The two groups were not significantly different with respect to age, symptomatology, abnormalities on the 12 lead electrocardiogram (during sinus rhythm), or the administration of digoxin and a class Ia antiarrhythmic agent (after cardioversion). There was a trend for those patients with recurrent atrial flutter to have a higher incidence of underlying heart disease and previous episodes of atrial flutter than the non-recurrent group. There were statistically significant differences between the recurrent and non-recurrent groups with respect to echocardiographically determined left atrial size and left ventricular ejection fraction. Patients with a left atrial size greater than 45 mm or with an ejection fraction less than 45% were all at high risk for recurrent atrial flutter after successful cardioversion.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>6860517</pmid><doi>10.1136/hrt.50.1.92</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Atrial Flutter - etiology Atrial Flutter - physiopathology Electric Countershock Heart - physiopathology Heart Diseases - complications Humans Male Middle Aged Recurrence Retrospective Studies |
| title | Determinants of recurrent atrial flutter after cardioversion |
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