Frequency and Determinants of Spontaneous Conversion to Sinus Rhythm in Patients Presenting to the Emergency Department with Recent-onset Atrial Fibrillation: A Systematic Review

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Abstract

The exact frequency and clinical determinants of spontaneous conversion (SCV) in patients with symptomatic recent-onset AF are unclear. The aim of this systematic review is to provide an overview of the frequency and determinants of SCV of AF in patients presenting at the emergency department. A comprehensive literature search for studies about SCV in patients presenting to the emergency department with AF resulted in 25 articles - 12 randomised controlled trials and 13 observational studies. SCV rates range between 9-83% and determinants of SCV also varied between studies. The most important determinants of SCV included short duration of AF (

Original languageEnglish
Pages (from-to)195-201
Number of pages7
JournalArrhythmia & Electrophysiology Review
Volume9
Issue number4
DOIs
Publication statusPublished - 2020

Keywords

  • Spontaneous conversion
  • AF
  • determinants
  • systematic review
  • emergency care
  • RISK STRATIFICATION
  • HEART-DISEASE
  • PROPAFENONE
  • AMIODARONE
  • EFFICACY
  • SAFETY
  • STROKE
  • BLIND

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