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Anteriolateral versus anterior–posterior electrodes in external cardioversion of atrial fibrillation: A systematic review and meta-analysis of clinical trials
Clinical Cardiology ( IF 2.4 ) Pub Date : 2023-02-09 , DOI: 10.1002/clc.23987 Karam R Motawea 1 , Mostafa R Mostafa 2 , Merna Aboelenein 1 , Mohamed Magdi 2 , Hager Fathy 3 , Sarya Swed 4 , Mohamed M Belal 1 , Dina M Awad 1 , Rowan H Elhalag 1 , Nesreen E Talat 1 , Samah S Rozan 1 , Abdulqadir J Nashwan 5 , Naim Battikh 6 , Bisher Sawaf 7 , Mhd K Albuni 7 , Elias Battikh 7 , Gihan M Mohamed 7 , Amr Farwati 7 , Hani Aiash 8
Clinical Cardiology ( IF 2.4 ) Pub Date : 2023-02-09 , DOI: 10.1002/clc.23987 Karam R Motawea 1 , Mostafa R Mostafa 2 , Merna Aboelenein 1 , Mohamed Magdi 2 , Hager Fathy 3 , Sarya Swed 4 , Mohamed M Belal 1 , Dina M Awad 1 , Rowan H Elhalag 1 , Nesreen E Talat 1 , Samah S Rozan 1 , Abdulqadir J Nashwan 5 , Naim Battikh 6 , Bisher Sawaf 7 , Mhd K Albuni 7 , Elias Battikh 7 , Gihan M Mohamed 7 , Amr Farwati 7 , Hani Aiash 8
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The efficacy of anteriolateral versus anterior–posterior electrode positions in the success of atrial fibrillation's (AF) electrical cardioversion is unclear. Our aim is to perform a meta-analysis to compare the success rate of both electrode positions. PUBMED, WOS, OVID, and SCOPUS were searched. Inclusion criteria were clinical trials that compared anterior–lateral with anterior–posterior electrodes in external cardioversion of AF. After the full-text screening, 11 trials were included in the analysis. The total number of patients included in the study is 1845. The pooled analysis showed a statistically significant association between anterior–lateral electrode and increased cardioversion rate of AF (odds ratio [OR] = 1.40, 95% confidence interval [CI] = 1.02–1.92, p = .04). Subgroup analysis revealed a statistically significant association between the anterior–lateral electrode and increased cardioversion rate of AF in subgroups of less than five shocks, patients with 60 years old or more and patients with left atrial (LA) diameter >45 mm (OR = 1.72, 95% CI = 1.17–2.54, p = .006), (OR = 1.73, 95% CI = 1.18–2.54, p = .005), and (OR = 1.86, 95% CI = 1.04–3.34, p = .04), respectively. Anteriolateral electrode is more effective than anterior–posterior electrode in external cardioversion of AF, particularly in patients who have received less than 5 shocks, are 60 years old or older and have a LA diameter greater than 45 mm.
中文翻译：
房颤体外复律中的前外侧电极与前后电极：临床试验的系统评价和荟萃分析
前外侧与前后电极位置在心房颤动 (AF) 电复律成功中的功效尚不清楚。我们的目标是进行荟萃分析以比较两个电极位置的成功率。检索了 PUBMED、WOS、OVID 和 SCOPUS。纳入标准是在 AF 的体外复律中比较前-侧电极和前-后电极的临床试验。全文筛选后，11 项试验被纳入分析。研究中的患者总数为 1845 人。汇总分析显示前侧电极与 AF 复律率增加之间存在统计学显着相关性（比值比 [OR] = 1.40，95% 置信区间 [CI] = 1.02– 1.92，页 =.04）。亚组分析显示，在少于 5 次电击的亚组、60 岁或以上的患者和左心房 (LA) 直径 >45 mm 的患者中，前侧电极与 AF 复律率增加之间存在统计学显着关联（OR = 1.72 , 95% CI = 1.17–2.54, p = .006), (OR = 1.73, 95% CI = 1.18–2.54, p = .005), 和 (OR = 1.86, 95% CI = 1.04–3.34, p = .04），分别。在 AF 的体外复律中，前外侧电极比前后电极更有效，特别是在接受少于 5 次电击、60 岁或以上且 LA 直径大于 45 mm 的患者中。
更新日期：2023-02-09
中文翻译：
房颤体外复律中的前外侧电极与前后电极：临床试验的系统评价和荟萃分析
前外侧与前后电极位置在心房颤动 (AF) 电复律成功中的功效尚不清楚。我们的目标是进行荟萃分析以比较两个电极位置的成功率。检索了 PUBMED、WOS、OVID 和 SCOPUS。纳入标准是在 AF 的体外复律中比较前-侧电极和前-后电极的临床试验。全文筛选后，11 项试验被纳入分析。研究中的患者总数为 1845 人。汇总分析显示前侧电极与 AF 复律率增加之间存在统计学显着相关性（比值比 [OR] = 1.40，95% 置信区间 [CI] = 1.02– 1.92，页 =.04）。亚组分析显示，在少于 5 次电击的亚组、60 岁或以上的患者和左心房 (LA) 直径 >45 mm 的患者中，前侧电极与 AF 复律率增加之间存在统计学显着关联（OR = 1.72 , 95% CI = 1.17–2.54, p = .006), (OR = 1.73, 95% CI = 1.18–2.54, p = .005), 和 (OR = 1.86, 95% CI = 1.04–3.34, p = .04），分别。在 AF 的体外复律中，前外侧电极比前后电极更有效，特别是在接受少于 5 次电击、60 岁或以上且 LA 直径大于 45 mm 的患者中。
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