Atrial fibrillation type modulates the clinical predictive value of neutrophil-to-lymphocyte ratio for atrial fibrillation recurrence after catheter ablation
| العنوان: | Atrial fibrillation type modulates the clinical predictive value of neutrophil-to-lymphocyte ratio for atrial fibrillation recurrence after catheter ablation |
|---|---|
| المؤلفون: | Naotaka Okamoto, Yutaka Matsuhiro, Akihiro Tanaka, Ryu Shutta, Masamichi Yano, Hitoshi Nakamura, Yasuharu Matsunaga-Lee, Koji Yasumoto, Masaki Tsuda, Masami Nishino, Kohei Ukita, Jun Tanouchi, Akito Kawamura, Yasuyuki Egami |
| المصدر: | International Journal of Cardiology: Heart & Vasculature, Vol 31, Iss, Pp 100664-(2020) International Journal of Cardiology. Heart & Vasculature |
| بيانات النشر: | Elsevier BV, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | lcsh:Diseases of the circulatory (Cardiovascular) system, medicine.medical_specialty, medicine.medical_treatment, Catheter ablation, Inflammation, 030204 cardiovascular system & hematology, Pulmonary vein isolation, Pulmonary vein, 03 medical and health sciences, 0302 clinical medicine, Recurrence, Internal medicine, medicine, 030212 general & internal medicine, Neutrophil to lymphocyte ratio, Neutrophil-to-lymphocyte ratio, Original Paper, business.industry, Atrial fibrillation, Ablation, medicine.disease, Predictive value, lcsh:RC666-701, Radiofrequency catheter ablation, Cardiology, medicine.symptom, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Background The neutrophil-to-lymphocyte ratio (NLR) has been proposed as an indicator of a systemic inflammatory response. There are baseline differences in the inflammation status between paroxysmal atrial fibrillation (PAF) and persistent AF (PerAF). The NLR changes and late recurrences of AF (LRAF) after ablation depending on the AF type remain unknown. Methods Consecutive AF patients undergoing pulmonary vein isolation (PVI) by radiofrequency catheter ablation were enrolled from September 2014 to June 2018. The peripheral blood leukocyte NLR 1 day before and 36–48 h after PVI were measured. First, the relationship between NLR changes after to before ablation (ΔNLR) and ERAFs/LRAFs in PAF and PerAF patients were investigated to exclude the baseline inflammation status and evaluate catheter ablation induced inflammation. Second, the clinical impact of the NLR for predicting LRAFs was evaluated. Results There hundred sixty-nine PAF and 264 PerAF patients from Osaka Rosai AF registry were enrolled. The ratio of ERAFs/LRAFs in PAF and PerAF patients were 26.8%/22.5% and 39.4%/29.9%, respectively. In PAF and PerAF patients, the ΔNLR was significantly higher with ERAF than no-ERAF (p = 0.022 and p = 0.010, respectively). In PAF patients, the ΔNLR was significantly higher with LRAF than no-LRAF (p = 0.017), while with PerAF, the ΔNLR did not significantly differ between LRAFs and no-LRAFs. In PAF, the ΔNLR was independently and significantly associated with LRAFs after PVI (p = 0.029). Conclusion The ΔNLR was significantly higher only in PAF patients with LRAFs than no-LRAFs, but not in PerAF patients. The ΔNLR was useful for predicting LRAFs after PVI in PAF patients. |
| تدمد: | 2352-9067 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ea76dcfa824ea93165383278e4bb7093 https://doi.org/10.1016/j.ijcha.2020.100664 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....ea76dcfa824ea93165383278e4bb7093 |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 23529067 |
|---|