Author/Authors :
Lellouche، نويسنده , , Nicolas and Berthier، نويسنده , , Romain and Mekontso-Dessap، نويسنده , , Armand and Braconnier، نويسنده , , François and Monin، نويسنده , , Jean-Luc and Duval، نويسنده , , Anne-Marie and Dubois-Randé، نويسنده , , Jean Luc and Guéret، نويسنده , , Pascal and Garot، نويسنده , , Jérôme، نويسنده ,
Abstract :
After successful external cardioversion, the rate of recurrence of atrial fibrillation remains high. The hypothesis that plasma B-type natriuretic peptide could predict the recurrence of atrial fibrillation at 1 year was tested. Plasma B-type natriuretic peptide was measured in 66 consecutive asymptomatic patients who underwent external cardioversion for atrial fibrillation. Twelve-lead electrocardiograms were obtained at 1 year. Sinus rhythm was maintained in 55% of patients. The independent predictors of the recurrence of atrial fibrillation at 1 year were a history of atrial fibrillation, plasma B-type natriuretic peptide, and the energy delivered for conversion. In patients without symptoms of heart failure, plasma B-type natriuretic peptide is an independent predictor of the recurrence of atrial fibrillation.