Format

Send to

Choose Destination
See comment in PubMed Commons below
J Womens Health (Larchmt). 2015 Jun;24(6):466-70. doi: 10.1089/jwh.2014.5014. Epub 2015 May 15.

Gender Differences in Patients with Atrial Fibrillation Undergoing Electrical Cardioversion.

Author information

  • 11 Grup de Recerca Cardiovascular, Hospital Universitari de Sant Joan, IISPV, Universitat Rovira i Virgili , Reus, Spain .
  • 22 Hospital de la Sta. Creu i St. Pau , Barcelona, Spain .
  • 33 Hospital Universitari Parc Taulí , Sabadell, Spain .
  • 44 Hospital Universitario Virgen del Rocío , Sevilla, Spain .
  • 55 Complejo Hospitalario Universitario de Vigo , Vigo, Spain .
  • 66 Hospital General de Albacete , Albacete, Spain .
  • 77 Hospital Lucus Augusti , Lugo, Spain .
  • 88 Hospital Costa del Sol , Marbella, Spain .

Abstract

BACKGROUND:

Current recommendations on the rhythm control strategy for treatment of atrial fibrillation (AF) are more restrictive than a decade ago. Gender may play a role in decisions on the management of AF, including application of electrical cardioversion.

METHODS:

We analyzed clinical characteristics by gender in patients participating in the observational survey about stable patients underlying cardioversion in Spain (CARDIOVERSE) study (n=915), a survey of the practice of electrical cardioversion in 67 Spanish hospitals. We compared these data with those from a previous survey of electrical cardioversion in Spain (REVERSE study) performed 8 years previously.

RESULTS:

Patients undergoing electrical cardioversion were mainly men (76%). This finding was observed in all age groups, independently of symptoms. Men were younger (62±10 years vs. 69±9 years; p<0.001), more frequently asymptomatic and had a lower prevalence of hypertension and a lower stroke risk. Among asymptomatic patients, the predominance of men was especially evident in older age groups (<65 years, men 76%, women 24%; ≥65 years, men 92%, women 8% (p<0.001). Compared with the REVERSE study, we observed a decrease in the percentage of women among patients undergoing electrical cardioversion (37% REVERSE vs. 24% CARDIOVERSE; p<0.001), mainly in older than 65 years.

CONCLUSIONS:

Our results support the hypothesis that gender is a determinant in decisions on the most appropriate strategy for managing AF. We observed a decrease in the percentage of women undergoing electrical cardioversion during the last decade, especially in older asymptomatic patients.

PMID:
25978301
DOI:
10.1089/jwh.2014.5014
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Mary Ann Liebert, Inc.
    Loading ...
    Support Center