[Predictive factors of regularization and maintenance of sinus rhythm in chronic atrial fibrillation].
The aim in treating chronic atrial fibrillation, is not limited to simply achieving immediate regularization. What matters, is sustaining the sinus rhythm. The various methods of regularization, using either medical procedures or cardioversion, involve constraints and risks. Investigation of the relapse predicting factor is of great value in evaluating the benefit/risk ratio. For regularization, the absence ultrasound signs of heart disease, an undilated left atrium, recent atrial fibrillation and all forms of heart disease which are curable, albeit surgically, are indicative of success. With regard to prophylaxis, relapses occur more frequently in cases involving mitral valve disease, long-standing atrial fibrillation or a dilated left atrium.
Théolade
R
R
Service de Cardiologie, Hôpital R. Debré, Reims.
Chauvin
M
M
Metz
D
D
Chabert
J P
JP
Bajolet
A
A
Brechenmacher
C
C
D000367:Age Factors; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000503:physiopathology / Q000628:therapy*; D016275:Atrial Function; D006332:Cardiomegaly / Q000150:complications; D002908:Chronic Disease; D004554:Electric Countershock; D004562:Electrocardiography; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D011237:Predictive Value of Tests
D000889:Anti-Arrhythmia Agents
Les facteurs prédictifs de la régularisation et du maintien en rythme sinusal de la fibrillation auriculaire chronique.