دورية أكاديمية
أعرض في EDS

Reverse structural left atrial remodeling and atrial tachycardia in patients with repeat ablation for atrial fibrillation.

التفاصيل البيبلوغرافية
العنوان: Reverse structural left atrial remodeling and atrial tachycardia in patients with repeat ablation for atrial fibrillation.
المؤلفون: Hashiguchi N; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany., Chiang CH; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany., Rottner L; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.; Department for Cardiology, University of Hamburg Eppendorf, Hamburg, Germany., Reißmann B; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.; Department for Cardiology, University of Hamburg Eppendorf, Hamburg, Germany., Rillig A; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.; Department for Cardiology, University of Hamburg Eppendorf, Hamburg, Germany., Maurer T; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany., Lemes C; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany., Kuck KH; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany., Ouyang F; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.; Fuwai Hospital, The Chinese Academy of Medical Sciences & National Center of Cardiovascular Diseases, Beijing, China., Mathew S; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.; Department of Cardiology, University of Giessen, Giessen, Germany.
المصدر: Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2023 Jan; Vol. 46 (1), pp. 11-19. Date of Electronic Publication: 2022 Nov 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Futura Pub. Co. Country of Publication: United States NLM ID: 7803944 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8159 (Electronic) Linking ISSN: 01478389 NLM ISO Abbreviation: Pacing Clin Electrophysiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Mount Kisco, N. Y. : Futura Pub. Co., c1978-
مواضيع طبية MeSH: Atrial Fibrillation* , Atrial Remodeling* , Tachycardia, Supraventricular* , Catheter Ablation*/methods, Humans ; Female ; Middle Aged ; Aged ; Cicatrix ; Heart Atria/surgery ; Treatment Outcome ; Recurrence
مستخلص: Background: Catheter ablation has been evolved to a cornerstone in the therapy of atrial fibrillation (AF); however, atrial tachycardias (AT) after AF ablation are still an important issue. Besides the electrical recurrence of atrial tachyarrhythmia after ablation, left atrial (LA) remodeling has received attention as a consequence of AF.
Objective: The aim of this study is to evaluate predictors for AT recurrence and LA remodeling in patients with repeat AF ablation procedures.
Methods and Results: One hundred thirteen patients who underwent repeat AF ablation with 3D electro-anatomical mapping system were evaluated. Mean age was 63.1 ± 9.3 years, and 2.3 ± 0.5 ablation procedures were performed during a time period of 22 [IQR 7;48] months. Reverse structural LA remodeling (LA volume decreased more than 15%) was observed in 25 (22.1%) patients. LA volume index (LAVI) during first procedure was the only predictor for positive reverse structural LA remodeling (hazard ratio (HR): 1.03, 95% CI: 1.00-1.07, p = .036) in multivariate analysis. Fifty-nine (52.2%) patients experienced only AF and 54 (47.8%) patients AT after first procedure. Female gender (HR: 5.21, 95% CI: 1.66-18.08, p = .006), LAVI (HR: 1.06, 95% CI: 1.02-1.11, p = .008) and LA scar percentage (HR: 1.08, 95% CI: 1.02-1.17, p = .019) were independent significant predictors for AT recurrence in multivariate analysis.
Conclusions: Reverse structural LA remodeling occurred in a quarter of patients with repeat ablation procedures for AF. Only larger LAVI during first procedure predicted reverse structural LA remodeling. Half of the patients experienced AT between first and last ablation procedure. Female gender, larger LAVI and larger scar area were significant predictors for AT after catheter ablation for AF.
(© 2022 Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: atrial fibrillation; atrial tachycardia; catheter ablation; electro-anatomical mapping; left atrial remodeling
تواريخ الأحداث: Date Created: 20221110 Date Completed: 20230111 Latest Revision: 20230119
رمز التحديث: 20231215
DOI: 10.1111/pace.14619
PMID: 36356298
قاعدة البيانات: MEDLINE
الوصف
تدمد:1540-8159
DOI:10.1111/pace.14619