Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population

Agnieszka Mlynarska,1,2 Rafal Mlynarski,2,3 Czeslaw Marcisz,1 Krzysztof S Golba2,3 1Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland; 2Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 3Departmen...

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Autores principales:	Mlynarska A, Mlynarski R, Marcisz C, Golba KS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	frailty atrial fibrillation electrical cardioversion sinus rhythm Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/91ec37c614f44c2c8b82f9d34dfeab2a
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spelling	oai:doaj.org-article:91ec37c614f44c2c8b82f9d34dfeab2a2021-12-02T11:16:44ZModified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population1178-1998https://doaj.org/article/91ec37c614f44c2c8b82f9d34dfeab2a2020-07-01T00:00:00Zhttps://www.dovepress.com/modified-frailty-as-a-novel-factor-in-predicting-the-maintenance-of-th-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Agnieszka Mlynarska,1,2 Rafal Mlynarski,2,3 Czeslaw Marcisz,1 Krzysztof S Golba2,3 1Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland; 2Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 3Department of Electrocardiology and Heart Failure, School of Health Sciences, Medical University of Silesia, Katowice, PolandCorrespondence: Agnieszka MlynarskaDepartment of Gerontology and Geriatric Nursing, Upper-Silesian Medical Centre, ul. Ziolowa 45/47, Katowice 40-635, PolandFax +48 32 2524098Email mlynarska83@gmail.comIntroduction: Frailty is a common geriatric syndrome that causes an elevated risk of catastrophic declines in the health and function among older adults – we hypothesized that frailty may be related to the maintenance of sinus rhythm after cardioversion.Methods: The study sample was a group of 199 consecutive patients over 60 (average age 71.41 ± 6.99; 40.2% women) with AF who were hospitalized in order to perform electrical cardioversion. The Tilburg Frailty Indicator (TFI) was used to assess frailty before cardioversion. The six-month visit after the electrical cardioversion was a follow-up. The follow-up period for the maintenance of sinus rhythm after electrical cardioversion was 180 ± 14 days.Results: Patients in whom cardioversion was effective had a statistically significantly lower severity of frailty syndrome (3.44 ± 1.83 vs 5.87 ± 1.12; p=0.000) and its components: physical components (2.14 ± 1.33 vs 3.62 ± 1.05 p=0.000); emotional components (0.92 ± 0.79 vs 1.29 ± 0.86 p=0.037) and social components (0.37 ± 0.56 vs 0.96 ± 0.46; p=0.000) compared to those patients in which cardioversion was ineffective. In the logistic regression, frailty (OR: 0.65, 95% CI:0.5010– 0.8330; p=0.000) was observed to be an independent predictor for maintaining sinus rhythm.Conclusion: Frailty is a novel, independent factor that can be used to predict the effectiveness of electrical cardioversion and the maintenance of sinus rhythm in the elderly population. Modifying the level of recognition in the Tilburg Frailty Indicator to a 4 improved the prediction of the effectiveness of electrical cardioversion as well as the maintenance of sinus rhythm.Keywords: frailty, atrial fibrillation, electrical cardioversion, sinus rhythmMlynarska AMlynarski RMarcisz CGolba KSDove Medical Pressarticlefrailtyatrial fibrillationelectrical cardioversionsinus rhythmGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1193-1199 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	frailty atrial fibrillation electrical cardioversion sinus rhythm Geriatrics RC952-954.6
spellingShingle	frailty atrial fibrillation electrical cardioversion sinus rhythm Geriatrics RC952-954.6 Mlynarska A Mlynarski R Marcisz C Golba KS Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population
description	Agnieszka Mlynarska,1,2 Rafal Mlynarski,2,3 Czeslaw Marcisz,1 Krzysztof S Golba2,3 1Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland; 2Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 3Department of Electrocardiology and Heart Failure, School of Health Sciences, Medical University of Silesia, Katowice, PolandCorrespondence: Agnieszka MlynarskaDepartment of Gerontology and Geriatric Nursing, Upper-Silesian Medical Centre, ul. Ziolowa 45/47, Katowice 40-635, PolandFax +48 32 2524098Email mlynarska83@gmail.comIntroduction: Frailty is a common geriatric syndrome that causes an elevated risk of catastrophic declines in the health and function among older adults – we hypothesized that frailty may be related to the maintenance of sinus rhythm after cardioversion.Methods: The study sample was a group of 199 consecutive patients over 60 (average age 71.41 ± 6.99; 40.2% women) with AF who were hospitalized in order to perform electrical cardioversion. The Tilburg Frailty Indicator (TFI) was used to assess frailty before cardioversion. The six-month visit after the electrical cardioversion was a follow-up. The follow-up period for the maintenance of sinus rhythm after electrical cardioversion was 180 ± 14 days.Results: Patients in whom cardioversion was effective had a statistically significantly lower severity of frailty syndrome (3.44 ± 1.83 vs 5.87 ± 1.12; p=0.000) and its components: physical components (2.14 ± 1.33 vs 3.62 ± 1.05 p=0.000); emotional components (0.92 ± 0.79 vs 1.29 ± 0.86 p=0.037) and social components (0.37 ± 0.56 vs 0.96 ± 0.46; p=0.000) compared to those patients in which cardioversion was ineffective. In the logistic regression, frailty (OR: 0.65, 95% CI:0.5010– 0.8330; p=0.000) was observed to be an independent predictor for maintaining sinus rhythm.Conclusion: Frailty is a novel, independent factor that can be used to predict the effectiveness of electrical cardioversion and the maintenance of sinus rhythm in the elderly population. Modifying the level of recognition in the Tilburg Frailty Indicator to a 4 improved the prediction of the effectiveness of electrical cardioversion as well as the maintenance of sinus rhythm.Keywords: frailty, atrial fibrillation, electrical cardioversion, sinus rhythm
format	article
author	Mlynarska A Mlynarski R Marcisz C Golba KS
author_facet	Mlynarska A Mlynarski R Marcisz C Golba KS
author_sort	Mlynarska A
title	Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population
title_short	Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population
title_full	Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population
title_fullStr	Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population
title_full_unstemmed	Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population
title_sort	modified frailty as a novel factor in predicting the maintenance of the sinus rhythm after electrical cardioversion of atrial fibrillation in the elderly population
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/91ec37c614f44c2c8b82f9d34dfeab2a
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Modified Frailty as a Novel Factor in Predicting the Maintenance of the Sinus Rhythm After Electrical Cardioversion of Atrial Fibrillation in the Elderly Population

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