Does the Policy of Repeated Early Cardioversion for Recurrences of Atrial Fibrillation Work?

  • E. Bertaglia
Conference paper


Atrial fibrillation (AF) is a very common arrhythmia, which increases in prevalence in patients more than 60 years old. Over time, it tends to become persistent or permanent, even if no underlying structural heart disease is present. The success rate of electrical cardioversion and the maintenance of sinus rhythm are highly dependent on the duration of the previous AF episode. After electrical cardioversion only 20%–40% of patients maintain sinus rhythm for the first year [1]. The highest incidence of recurrences is seen during the first month after cardioversion, particularly within the first 5 days, when AF recurs in up to 40% of patients [2].


Atrial Fibrillation Sinus Rhythm Atrial Fibrillation Recurrence Electrical Cardioversion Maintain Sinus Rhythm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Prystowsky EN, Benson DW, Fuster V et al (1996) Management of patients with atrial fibrillation. Circulation 93:1262–1277PubMedCrossRefGoogle Scholar
  2. 2.
    Tieleman RG, Van Gelder I, Crijns HJ et al (1998) Early recurrences of atrial fibrillation after electrical cardioversion: a result of fibrillation-induced electrical remodeling of the atria? J Am Coll Cardiol 31:167–173PubMedCrossRefGoogle Scholar
  3. 3.
    Wijffels MC, Kirchof CJ, Dorland R, Allessie MA (1995) Atrial fibrillation begets atrial fibrillation. Circulation 92:1954–1968PubMedCrossRefGoogle Scholar
  4. 4.
    Van Gelder I, Crijns HJ, Tieleman RG et al (1996) Chronic atrial fibrillation. Success of serial cardioversion therapy and safety of oral anticoagulation. Arch Intern Med 156:2585–2592PubMedCrossRefGoogle Scholar
  5. 5.
    Van Gelder I, Crijns HJ (1997) Cardioversion of atrial fibrillation and subsequent maintenance of sinus rhythm. Pacing Clin Electrophysiol 20(Pt II):2675–2683PubMedCrossRefGoogle Scholar
  6. 6.
    Bertaglia E, D’Este D, Zerbo F, Zoppo, F, Delise P, Pascotto P (2002) Success of serial electrical cardioversion of persistent atrial fibrillation in maintaining sinus rhythm. Eur Heart J 23:1522–1528PubMedCrossRefGoogle Scholar
  7. 7.
    Allessie MA (1998) Atrial electrophysiologic remodeling: another vicious circle? J Cardiovasc Electrophysiol 9:1378–1393PubMedCrossRefGoogle Scholar
  8. 8.
    Fynn SP, Todd DM, Hobbs WJ, Armstrong KL, Fitzpatrick AP, Garratt CJ (2002) Clinical evaluation of a policy of early repeated internal cardioversion for recurrence of atrial fibrillation. J Cardiovasc Electrophysiol 13:135–141PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2004

Authors and Affiliations

  • E. Bertaglia
    • 1
  1. 1.Dipartimento di CardiologiaOspedale CivileMiranoItaly

Personalised recommendations