{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:20:16Z","timestamp":1783164016173,"version":"3.54.6"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>This study aims to evaluate changes in quality of life, anxiety levels, and sleep quality before and after elective electrical cardioversion or ablation in patients diagnosed with chronic atrial fibrillation (AF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This is a single\u2010center, quasi\u2010experimental study with a two\u2010group, pretest\u2212posttest design conducted between January and December 2024 in a training and research hospital in Istanbul. A total of 57 patients who underwent either cardioversion (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930) or ablation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927) were included. Data were collected using the AFEQT Quality of Life Questionnaire, Beck Anxiety Inventory, and Pittsburgh Sleep Quality Index, and analyzed with R software. Statistical analyses included Student's\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, Pearson's Chi\u2010square, Fisher's exact test, paired two\u2010sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, and Welch's unequal variance\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test. A\n                      <jats:italic>p<\/jats:italic>\n                      value of &lt;\u20090.05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Post\u2010treatment quality of life significantly improved in both groups (AFEQT: ablation +21, cardioversion +11 points). Anxiety levels decreased in the ablation group (\u20134.7 points), while sleep quality showed no significant change (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.092). In the cardioversion group, significant improvements were observed in both anxiety and sleep quality (BAI \u20138.63; PSQI \u20131.10;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Regression analyses showed significant correlations between quality of life, anxiety, and sleep both before and after treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Improvements in quality of life were observed following both ablation and cardioversion procedures in patients with AF. Greater reductions in anxiety and sleep disturbance scores were observed in the cardioversion group compared with the ablation group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/clc.70388","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T11:15:11Z","timestamp":1782213311000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Comparative Analysis of the Effects of Cardioversion and Ablation on Anxiety, Sleep, and Quality of Life in Patients Diagnosed With Atrial Fibrillation"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4182-7226","authenticated-orcid":false,"given":"Besey","family":"Oren","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Nursing, Hamidiye Faculty of Nursing University of Health Sciences Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1966-8484","authenticated-orcid":false,"given":"Busra Zehra","family":"Buyukkilic","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nursing, Hamidiye Faculty of Nursing University of Health Sciences Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8653-1077","authenticated-orcid":false,"given":"Kubra","family":"Soydas","sequence":"additional","affiliation":[{"name":"Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital University of Health Sciences Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5769-6738","authenticated-orcid":false,"given":"Ekin","family":"Oren","sequence":"additional","affiliation":[{"name":"Ruprecht\u2010Karls\u2010University of Heidelberg, Baden\u2010Wurttemberg, Faculty of Biosciences Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11051242"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00668"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001193"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa612"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2016.10.018"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjco.2020.03.013"},{"issue":"1","key":"e_1_2_11_8_1","first-page":"e1","article-title":"2023 ACC\/AHA\/ACCP\/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation","volume":"149","author":"Members of the Writing Committee","year":"2023","journal-title":"Circulation"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2017.01.013"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000665"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.069450"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16173042"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200509-1442OC"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2011.02148.x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000029443"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.5543\/tkda.2021.41347"},{"key":"e_1_2_11_17_1","unstructured":"M.Avc\u0131 G\u00fcm\u00fc\u015f \u201cValidity and Reliability Study of Beck Anxiety Inventory \u201d [Master's thesis Ege University Health Sciences Institute Clinical Psychology Program 1995]."},{"issue":"2","key":"e_1_2_11_18_1","first-page":"107","article-title":"Validity and Reliability of the Pittsburgh Sleep Quality Index in Turkish","volume":"7","author":"A\u011farg\u00fcn M. Y.","year":"1996","journal-title":"Turkish Journal of Psychiatry"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11154541"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23752"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.01.022"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02612-5"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2017.11.093"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.011984"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12537"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14771"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.056747"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.0693"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.70388","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/clc.70388","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.70388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T10:47:51Z","timestamp":1783162071000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.70388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/clc.70388"],"URL":"https:\/\/doi.org\/10.1002\/clc.70388","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2025-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70388"}}