Do restoring and maintaining sinus rhythm have a beneficial effect on secondary prevention of stroke in patients with atrial fibrillation? A pilot study

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dc.authorid0000-0001-6643-9364
dc.contributor.authorConkbayır, Cenk
dc.contributor.authorYiğit, Zerrin
dc.contributor.authorHural, Refika
dc.contributor.authorUğurlucan, Murat
dc.contributor.authorÖztaş, Didem Melis
dc.contributor.authorÖkçün, Barış
dc.contributor.authorKüçükoğlu, Serdar
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:24Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:24Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractWe aimed to determine whether attempts to restore and maintain sinus rhythm will reduce recurrent stroke in patients with atrial fibrillation (AF). Patients (n = 245) between March 1998 and May 2002 with AF who had an ischemic stroke including transient ischemic attack 1 to 12 months before transesophageal echocardiographic examination and had been followed for 3 years were retrospectively reviewed. Cardioversion was attempted in 130 patients; 117 (90%) patients were successfully cardioverted (rhythm control group). The 13 patients who could not be cardioverted and 115 patients who did not undergo cardioversion were assigned to the rate control group. Age, gender, ischemic heart disease, hypertension, diabetes mellitus, congestive heart failure, mitral valve disease, and left atrial diameter were similar in both groups. The rhythm control group included 56 patients (48.7%) who were still in sinus rhythm after 3 years. During follow-up, there were 2 embolic events (3.4%) and 2 deaths (3.4%) in the rhythm control group, whereas 18 embolic events (14.6%) and 18 deaths (14.6%) occurred in the rate control group (P =.049 and P =.049, respectively). Restoration and maintenance of sinus rhythm seems to have a beneficial effect on secondary prevention of stroke in patients with AF.
dc.identifier.citationUğurlucan, M., Yiğit, Z., Hural, R., Conkbayır, C., Öztaş, D. M., Ökçün, B. ve Küçükoğlu, S. (2019). Do restoring and maintaining sinus rhythm have a beneficial effect on secondary prevention of stroke in patients with atrial fibrillation? A pilot study. Angiology, 70(10), 916-920. https://dx.doi.org/10.1177/0003319719856455
dc.identifier.doi10.1177/0003319719856455
dc.identifier.issn0003-3197
dc.identifier.issn1940-1574
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://hdl.handle.net/20.500.12511/754
dc.identifier.urihttps://dx.doi.org/10.1177/0003319719856455
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSAGE Publications Inc.
dc.relation.ispartofAngiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAtrial Fibrillation
dc.subjectCardioversion
dc.subjectIschemic Stroke
dc.subjectPrognosis
dc.titleDo restoring and maintaining sinus rhythm have a beneficial effect on secondary prevention of stroke in patients with atrial fibrillation? A pilot study
dc.typeArticle

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