Table 1 Baseline characteristics and univariate analysis
Study variables on admission | Study population (N = 83) | Pharmacological cardioversion (n = 43) | N Non-Pharmacological cardioversion (n = 40) | p-value |
---|---|---|---|---|
Age (years) | 55.8 ± 9.8 | 55.2 ± 11.0 | 56.3 ± 8.3 | 0.986 |
Sex male/female (n (%)) | 68/15 (81.9/18.1) | 35/8 (81.4/18.6) | 33/7 (82.5/17.5) | 0.896 |
Clinical history | ||||
Body mass index (kg/m2) | 28.4 ± 7.9 | 26.4 ± 3.3 | 30.4 ± 10.4 | 0.001 |
Lean body mass (Kg) | 57.2 ± 7.9 | 56.0 ± 8.3 | 58.5 ± 7.2 | 0.140 |
Hypertension (n (%)) | 30 (36.1) | 12 (27.9) | 18 (45.0) | 0.105 |
Dyslipidemia (n (%)) | 30 (36.1) | 15 (34.9) | 15 (37.5) | 0.804 |
Diabetes mellitus (n (%)) | 4 (4.8) | 4 (9.3) | 0 (0) | 0.117 |
Current smoking (n (%)) | 10 (12.1) | 5 (11.6) | 5 (12.5) | 1.000 |
Previous stroke or TIA (n (%)) | 6 (7.2) | 2 (4.7) | 4 (10.0) | 0.422 |
Persistent AF (n (%)) | 57 (68.7) | 20 (46.5) | 37 (92.5) | <0.001 |
CHA2DS2-VASc (≥1 for ♂ / > 1 for ♀) | 39 (47.0) | 18 (41.9) | 21 (52.5) | 0.332 |
Baseline medication (n (%)) | ||||
β-blockers | 58 (69.9) | 29 (67.4) | 29 (72.5) | 0.616 |
ACEis/ARBs/MRAs | 17 (17.0) | 7 (16.3) | 10 (25.0) | 0.325 |
Statins | 15 (18.1) | 8 (18.6) | 7 (17.5) | 0.896 |
Oral anticoagulation | 45 (54.2) | 18 (41.9) | 27 (67.5) | 0.019 |
Echocardiography parameters | ||||
Left ventricular ejection fraction (%) | 60.0 ± 4.8 | 60.4 ± 4.4 | 59.7 ± 5.2 | 0.499 |
LA diameter; Parasternal long-axis (mm) | 40.2 ± 4.2 | 38.3 ± 4.1 | 42.1 ± 3.4 | <0.001 |
RA area (cm2/m2) | 9.9 ± 2.0 | 9.4 ± 2.0 | 10.4 ± 1.9 | 0.029 |
3D LA volume index (ml/m2) | 32.6 ± 8.6 | 30.6 ± 9.1 | 34.7 ± 7.6 | 0.034 |
Mean peak flow velocity in LAA (cm/s) | 35.0 ± 13.9 | 38.7 ± 14.3 | 29.9 ± 11.8 | 0.060 |
LA mean TDI amplitude excursion (cm/s) | 10.8 ± 3.9 | 11.0 ± 3.5 | 10.6 ± 4.3 | 0.699 |
RA mean TDI amplitude excursion (cm/s) | 11.6 ± 5.1 | 12.5 ± 4.4 | 10.8 ± 5.6 | 0.262 |
LASr (%) | 13.0 ± 6.6 | 15.3 ± 8.2 | 11.1 ± 4.1 | 0.016 |
RASr (%) | 13.1 ± 8.6 | 15.3 ± 10.5 | 11.3 ± 6.4 | 0.135 |
DF on surface ECG leads (Hz) | ||||
Lead I | 5.7 ± 1.4 | 5.3 ± 1.5 | 6.2 ± 1.3 | 0.009 |
Lead II | 6.2 ± 1.0 | 6.0 ± 0.9 | 6.5 ± 1.0 | 0.004 |
Lead III | 6.1 ± 0.9 | 5.8 ± 0.8 | 6.4 ± 1.0 | 0.007 |
Lead aVR | 5.8 ± 1.0 | 5.6 ± 0.9 | 6.0 ± 1.1 | 0.094 |
Lead aVL | 6.1 ± 1.2 | 5.8 ± 1.2 | 6.5 ± 1.1 | 0.028 |
Lead aVF | 6.1 ± 1.1 | 6.0 ± 1.0 | 6.3 ± 1.2 | 0.292 |
Lead V1 | 6.7 ± 1.2 | 6.4 ± 1.3 | 7.1 ± 0.9 | 0.022 |
Lead V2 | 6.5 ± 1.2 | 6.2 ± 1.2 | 6.9 ± 1.0 | 0.010 |
Serum biomarkers | ||||
IL-6 (pg/ml) | 2.9 ± 4.4 | 2.2 ± 2.2 | 3.8 ± 5.8 | 0.189 |
IL-1β (pg/ml) | 6.6 ± 14.5 | 7.5 ± 17.9 | 5.6 ± 10.2 | 0.115 |
TNF-α (pg/ml) | 24.4 ± 20.1 | 23.3 ± 20.6 | 25.6 ± 19.8 | 0.357 |
Galectin-3 (ng/ml) | 1.4 ± 1.2 | 1.2 ± 0.6 | 1.6 ± 1.6 | 0.197 |
High-sensitivity TroponinT (pg/ml) | 9.7 ± 6.5 | 9.2 ± 6.6 | 10.4 ± 6.3 | 0.381 |
Electromechanical dissociation (Hz) | ||||
EMD in TTE | 0.2 ± 1.5 | −0.7 ± 1.2 | 1.2 ± 1.2 | <0.001 |
EMD in TEE | 0.7 ± 1.2 | 0.2 ± 1.0 | 1.1 ± 1.1 | 0.003 |