Clinical Diagnosis of Atrial Fibrillation

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 1521

Special Issue Editor


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Guest Editor
Department of Emergency Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland
Interests: atrial fibrillation; stroke; mesenteric ischemia; leg ischemia; cardiac arrest

Special Issue Information

Dear Colleagues,

Atrial fibrillation is the most common sustained arrhythmia. However, when paroxysmal, it is often difficult to detect. The pattern of the arrhythmia occurrence could also consist of unexpected events which often are asymptomatic and difficult to record.

However, even short-term atrial fibrillation events may result in thrombus formation in the left atrial appendage. Next, the thrombus may move to the peripheral circulation, causing arterial obstruction with its consequences depending on the vessel location: stroke, mesenteric ischemia, leg ischemia.

The focus of this Special Issue is paroxysmal atrial fibrillation diagnosis. More specifically, the Special Issue will present current achievements in the paroxysmal atrial fibrillation diagnosis in the general population and subpopulations with increased risk for atrial fibrillation.

A wide spectrum of approaches to resolve the problem of clinical diagnosis of atrial fibrillation are welcome, from the simplest methods using pulse palpation to the most sophisticated ones using new technics. The purpose is to provide a useful guide for paroxysmal atrial fibrillation diagnosis in different populations.

Prof. Dr. Dorota Zysko
Guest Editor

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Keywords

  • atrial fibrillation
  • paroxysmal
  • detection
  • risk factors
  • free access ECG laboratories

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Published Papers (1 paper)

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Research

12 pages, 821 KiB  
Article
New-Onset Paroxysmal Atrial Fibrillation in the Setting of Acute Pulmonary Embolism Is Associated with All-Cause Hospital Mortality in Women but Not in Men
by Ivica Djuric, Boris Dzudovic, Bojana Subotic, Jelena Dzudovic, Jovan Matijasevic, Marija Benic, Sonja Salinger, Irena Mitevska, Ljiljana Kos, Tamara Kovacevic-Preradovic, Stefan Simovic, Vladimir Miloradovic, Tanja Savicic, Bjanka Bozovic, Nebojsa Bulatovic, Srdjan Kafedzic, Aleksandar N. Neskovic, Nikola Kocev, Jelena Marinković and Slobodan Obradovic
Diagnostics 2023, 13(11), 1829; https://doi.org/10.3390/diagnostics13111829 - 23 May 2023
Viewed by 1282
Abstract
Background: Patients with acute pulmonary embolism (PE) may have various types of atrial fibrillation (AF). The role of AF in hemodynamic states and outcomes may differ between men and women. Methods: In total, 1600 patients (743 males and 857 females) with acute PE [...] Read more.
Background: Patients with acute pulmonary embolism (PE) may have various types of atrial fibrillation (AF). The role of AF in hemodynamic states and outcomes may differ between men and women. Methods: In total, 1600 patients (743 males and 857 females) with acute PE were enrolled in this study. The severity of PE was assessed using the European Society of Cardiology (ESC) mortality risk model. Patients were allocated into three groups according to their electrocardiography recordings taken during hospitalization: sinus rhythm, new-onset paroxysmal AF, and persistent/permanent AF. The association between the types of AF and all-cause hospital mortality was tested using regression models and net reclassification index (NRI) and integrated discrimination index (IDI) statistics with respect to sex. Results: There were no differences between the frequencies of the types of AF between men and women: 8.1% vs. 9.1% and 7.5% vs. 7.5% (p = 0.766) for paroxysmal and persistent/permanent AF, respectively. We found that the rates of paroxysmal AF significantly increased across the mortality risk strata in both sexes. Among the types of AF, the presence of paroxysmal AF had a predictive value for all-cause hospital mortality independent of mortality risk and age in women only (adjusted HR, 2.072; 95% CI, 1.274–3.371; p = 0.003). Adding paroxysmal AF to the ESC risk model did not improve the reclassification of patient risk for the prediction of all-cause mortality, but instead enhanced the discriminative power of the existing model in women only (NRI, not significant; IDI, 0.022 (95% CI, 0.004–0.063); p = 0.013). Conclusion: The occurrence of paroxysmal AF in female patients with acute PE has predictive value for all-cause hospital mortality independent of age and mortality risk. Full article
(This article belongs to the Special Issue Clinical Diagnosis of Atrial Fibrillation)
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