Skip to main content
SpringerLink
Log in

Predicting Atrial Fibrillation in Patients with Hypertension: Can We Do It?

  • Conference paper
Cardiac Arrhythmias 2003

  • 66 Accesses

Abstract

Hypertension is a silent disorder, which is usually asymptomatic. However, long-standing hypertension increases the risk of developing cardiovascular complications, such as stroke, renal failure, peripheral atherosclerosis, coronary artery disease, and heart failure [1]. Systolic blood pressure is a stronger predictor of cardiovascular complications than diastolic pressure [2], and systolic hypertension in isolation has an especially high complication rate [3]. The reduction of morbidity and mortality by prevention of these potentially serious cardiovascular complications is the primary aim of treatment for hypertension

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Chobanian AV, Bakris GL, Black HR et al (2003) The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and treatment of High Blood Pressure: the JNC 7 Report. JAMA 289:2560–2571

    Article  PubMed  CAS  Google Scholar 

  2. Kannel WB (2000) Elevated systolic blood pressure as a cardiovascular risk factor. Am J Cardiol 85:251–255

    Article  PubMed  CAS  Google Scholar 

  3. Staessen JA, Gasowski J, Wang JG et al (2000) Risks of untreated and treated isolated systolic hypertension in the elderly: meta-analysis of outcome trials. Lancet 355:865–872

    Article  PubMed  CAS  Google Scholar 

  4. Krahn AD, Manfreda J, Tate RB, Mathewson FA, Cuddy TE (1995) The natural history of atrial fibrillation: incidence, risk factors, and prognosis in the Manitoba Follow-Up Study. Am J Med 98:476–484

    Article  PubMed  CAS  Google Scholar 

  5. Kannel WB, Wolf PA, Benjamin EJ, Levy D (1998) Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol 82:2N–9N

    Article  PubMed  CAS  Google Scholar 

  6. Benjamin EJ, Wolf PA, D’Agostino RB, Silbershatz H, Kannel WB, Levy D (1998) Impact of atrial fibrillation on the risk of death: the Framingham Heart Study. Circulation 98:946–952

    Article  PubMed  CAS  Google Scholar 

  7. Burt VL, Whelton P, Roccella EJ et al (1995) Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension 25:305–313

    Article  PubMed  CAS  Google Scholar 

  8. Furberg CD, Psaty BM, Manolio TA, Gardin JM, Smith VE, Rautaharju PM (1994) Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study). Am J Cardiol 74:236–241

    Article  PubMed  CAS  Google Scholar 

  9. Kannel WB, Abbott RD, Savage DD, McNamara PM (1982) Epidemiologic features of chronic atrial fibrillation: the Framingham study. N Engl J Med 306:1018–1022

    Article  PubMed  CAS  Google Scholar 

  10. Psaty BM, Manolio TA, Kuller LH et al (1997) Incidence of and risk factors for atrial fibrillation in older adults. Circulation 96:2455–2461

    Article  PubMed  CAS  Google Scholar 

  11. Van Gelder IC, Hagens VE, Bosker HA et al (2002) A comparison of rate control and rhythm control in patients with recurrent persistent atrial fibrillation. N Engl J Med 347:1834–1840

    Article  PubMed  Google Scholar 

  12. Wyse DG, Waldo AL, DiMarco JP et al (2002) A comparison of rate control and rhythm control in patients with atrial fibrillation. N Engl J Med 347:1825–1833

    Article  PubMed  CAS  Google Scholar 

  13. Verdecchia P, Reboldi G, Gattobigio R et al (2003) Atrial fibrillation in hypertension: predictors and outcome. Hypertension 41:218–23

    Article  PubMed  CAS  Google Scholar 

  14. Fuster V, Ryden LE, Asinger RW et al (2001) ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation: executive summary. A report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the North American Society of Pacing and Electrophysiology. J Am Coll Cardiol 38:1231–1266

    Article  PubMed  CAS  Google Scholar 

  15. Page RL, Tilsch TW, Connolly SJ et al (2003) Asymptomatic or “silent” atrial fibrillation: frequency in untreated patients and patients receiving azimilide. Circulation 107:1141–1145

    Article  PubMed  Google Scholar 

  16. Van Gelder IC, Crijns HJ, Tieleman RG et al (1996) Chronic atrial fibrillation. Success of serial cardioversion therapy and safety of oral anticoagulation. Arch Intern Med 156:2585–2592

    Article  PubMed  Google Scholar 

  17. Li D, Fareh S, Leung TK, Nattel S (1999) Promotion of atrial fibrillation by heart failure in dogs: atrial remodeling of a different sort. Circulation 100:87–95

    Article  PubMed  CAS  Google Scholar 

  18. Neven K, Tieleman RG, Cheriex EC, Crijns HJGM (2002) The degree of left ventricular hypertrophy predicts the incidence of atrial fibrillation (abstract). Eur Heart J 23:138

    Google Scholar 

  19. Dilaveris PE, Gialafos EJ, Sideris SK et al (1998) Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 135:733–738

    Article  PubMed  CAS  Google Scholar 

  20. Dilaveris PE, Gialafos EJ, Andrikopoulos GK et al (2000) Clinical and electrocardiographic predictors of recurrent atrial fibrillation. Pacing Clin Electrophysiol 23:352–358

    Article  PubMed  CAS  Google Scholar 

  21. Fukunami M, Yamada T, Ohmori M et al (1991) Detection of patients at risk of paroxysmal atrial fibrillation during sinus rhythm by P-wave triggered signal-averaged electrogram. Circulation 83:162–169

    Article  PubMed  CAS  Google Scholar 

  22. Klein M, Evans SJ, Blumberg S, Cataldo L, Bodenheimer MM (1995) Use of P-wave-triggered, P-wave signal-averaged electrocardiogram to predict atrial fibrillation after coronary artery bypass surgery. Am Heart J 129:895–901

    Article  PubMed  CAS  Google Scholar 

  23. Cecchi F, Montereggi A, Olivotto I et al (1997) Risk for atrial fibrillation in patients with hypertrophic cardiomyopathy assessed by signal averaged P-wave duration. Heart 78:44–49

    PubMed  CAS  Google Scholar 

  24. Dilaveris PE, Gialafos EJ, Chrissos D et al (1999) Detection of hypertensive patients at risk for paroxysmal atrial fibrillation during sinus rhythm by computer-assisted P wave analysis. J Hypertens 17:1463–1470

    Article  PubMed  CAS  Google Scholar 

  25. Dilaveris P, Batchvarov V, Gialafos J, Malik M (1999) Comparison of different methods for manual P wave duration measurement in 12-lead electrocardiograms. Pacing Clin Electrophysiol 22:1532–1538

    Article  PubMed  CAS  Google Scholar 

  26. Ciaroni S, Cuenoud L, Bloch A (2000) Clinical study to investigate the predictive parameters for the onset of atrial fibrillation in patients with essential hypertension. Am Heart J 139:814–819

    Article  PubMed  CAS  Google Scholar 

  27. Ozer N, Aytemir K, Atalar E et al (2000) P wave dispersion in hypertensive patients with paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 23:1859–1862

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, University Hospital Maastricht, The Netherlands

    R. G. Tieleman & H. J. G. M. Crijns

Authors
  1. R. G. Tieleman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. J. G. M. Crijns
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Divisione di Cardiologia, Ospedale Umberto I, Via Circonvallazione 50, I-30174, Venezia, Mestre, Italy

    Antonio Raviele MD

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Italia

About this paper

Cite this paper

Tieleman, R.G., Crijns, H.J.G.M. (2004). Predicting Atrial Fibrillation in Patients with Hypertension: Can We Do It?. In: Raviele, A. (eds) Cardiac Arrhythmias 2003. Springer, Milano. https://doi.org/10.1007/978-88-470-2137-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2137-2_3

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2177-8

  • Online ISBN: 978-88-470-2137-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation