High-sensitivity troponin I and rhythm outcome after electrical cardioversion for persistent Atrial fibrillation

Anja Wiedswang Horjen, Sara Reinvik Ulimoen, Ingebjørg Seljeflot, Pal Smith, Harald Arnesen, Jon Norseth, Arnljot Tveit

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Objectives: We hypothesised that high-sensitivity troponin I (hs-TnI) might predict long-term rhythm outcome after cardioversion for persistent atrial fibrillation (AF), and that maintenance of sinus rhythm and/or treatment with the angiotensin II type 1 receptor blocker candesartan would reduce hs-TnI levels. Methods: In a double-blind, placebo-controlled study, 171 patients referred for electrical cardioversion for AF were randomised to receive candesartan or placebo for 3-6 weeks before cardioversion and for 6 months after electrical cardioversion. Blood samples for analysis of hs-TnI (Abbott Diagnostics) were available in 129 patients at baseline and in 60 successfully cardioverted patients at study end. Results: Hs-TnI was detectable in all subjects, with a median value of 5.3 ng/l (25th percentile 3.7, 75th percentile 7.2). hs-TnI at baseline was not predictive of rhythm outcome 6 months after electrical cardioversion for persistent AF. Treatment with candesartan did not influence the levels of hs-TnI. hs-TnI was unchanged from baseline to study end in patients who maintained sinus rhythm [4.9 (3.7, 7.0) and 5.0 (4.0, 6.4) ng/l, respectively; p = 0.699). Conclusions: hs-TnI did not predict AF recurrence after cardioversion. hs-TnI levels were unchanged in patients maintaining sinus rhythm for 6 months after electrical cardioversion. hs-TnI levels were not influenced by treatment with candesartan.

Original languageEnglish
Pages (from-to)233-238
Number of pages6
Issue number4
StatePublished - 1 Mar 2016
Externally publishedYes


  • Angiotensin II type I receptor blocker
  • Atrial fibrillation
  • Cardioversion
  • High-sensitivity troponin I


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