Vol 61, No 9 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28
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Activation of generalised inflammatory reaction following electrical cardioversion

Jacek Gajek, Dorota Zyśko, Andrzej Mysiak, Walentyna Mazurek
Kardiol Pol 2004;61(9):229-231.
Vol 61, No 9 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28

Abstract

Background: Restoration of sinus rhythm in patients with atrial fibrillation (AF) is associated with an increased risk of thrombo-embolic complications due to delayed return of the left atrial and left atrial appendage systolic function. Direct current cardioversion (DC), used for AF termination, may cause myocardial injury and subsequent activation of inflammatory response. A C-reactive protein (CRP) is a non-specific marker of inflammation.
Aim: To examine the effects of external DC of AF or atrial flutter (AFlut) on inflammatory processes.
Methods: The study group consisted of 35 patients (20 females and 15 males, mean age 67.9±9.7 years, range 46-83 years) with paroxysmal or persistent AF/AFlut who underwent elective DC. CRP plasma concentration was measured before and 24 hours after DC.
Results: The mean total DC energy was 431.2 J. CRP plasma concentration increased significantly following DC - from 3.9±3.4 ng/ml before DC to 7.2±6.7 ng/ml after DC (p

Abstract

Background: Restoration of sinus rhythm in patients with atrial fibrillation (AF) is associated with an increased risk of thrombo-embolic complications due to delayed return of the left atrial and left atrial appendage systolic function. Direct current cardioversion (DC), used for AF termination, may cause myocardial injury and subsequent activation of inflammatory response. A C-reactive protein (CRP) is a non-specific marker of inflammation.
Aim: To examine the effects of external DC of AF or atrial flutter (AFlut) on inflammatory processes.
Methods: The study group consisted of 35 patients (20 females and 15 males, mean age 67.9±9.7 years, range 46-83 years) with paroxysmal or persistent AF/AFlut who underwent elective DC. CRP plasma concentration was measured before and 24 hours after DC.
Results: The mean total DC energy was 431.2 J. CRP plasma concentration increased significantly following DC - from 3.9±3.4 ng/ml before DC to 7.2±6.7 ng/ml after DC (p
Get Citation

Keywords

atrial fibrillation - external cardioversion - inflammation - c-reactive protein

About this article
Title

Activation of generalised inflammatory reaction following electrical cardioversion

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 61, No 9 (2004)

Pages

229-231

Published online

2005-12-12

Bibliographic record

Kardiol Pol 2004;61(9):229-231.

Keywords

atrial fibrillation - external cardioversion - inflammation - c-reactive protein

Authors

Jacek Gajek
Dorota Zyśko
Andrzej Mysiak
Walentyna Mazurek

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