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Predictors of left atrial volume index reduction following cryoballoon-based pulmonary vein isolation

Europace · Mart 2016

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YÖKSİS Kayıtları
Predictors of left atrial volume index reduction following cryoballoon based pulmonary vein isolation
Europace · 2016 SCI-Expanded
DOÇENT MUHAMMED ULVİ YALÇIN →
Predictors of left atrial volume index reduction following cryoballoon-based pulmonary vein isolation
Europace · 2016 SCI-Expanded
DOÇENT KADRİ MURAT GÜRSES →

Makale Bilgileri

DergiEuropace
Yayın TarihiMart 2016
Cilt / Sayfa18 · 392-397
Erişim🔓 Açık Erişim
Özet Aims Ablation for atrial fibrillation (AF) has been suggested to be associated with 'reverse left atrial remodelling'. Reduction in left atrial volume index (LAVIR) is regarded as a determinant of reverse remodelling following pulmonary vein isolation (PVI). However, there is paucity on data about the predictors for LAVIR after PVI. In this study, we aimed to investigate predictors of LAVIR at 12 months in AF patients undergoing cryoballoon-based PVI. Methods and results Patients with symptomatic paroxysmal or persistent AF despite ≥1 antiarrhythmic drug(s), who were scheduled for cryoballoon-based AF ablation procedure per the recent consensus recommendations, were enrolled and followed-up for 12 months in this prospective observational study. Left atrial volume was derived using the biplane area-length method. A total of 160 patients (54.25 ± 7.66 years, 44.40% female) were involved in the study. Reduction in left atrial volume index occurred in 120 patients. Age [hazard ratio (HR): 0.901, 95% confidence interval (CI): 0.828-0.981, P = 0.017], hypertension (HR: 0.151, 95% CI: 0.048-0.471, P = 0.001), mild mitral regurgitation (MR) (HR: 5.327, 95% CI: 1.489-19.058, P = 0.010), and AF recurrence (HR: 0.017, 95% CI: 0.005-0.065, P< 0.001) were found to be independent predictors for LAVIR. Conclusion To the best of our knowledge, this is the largest study in the literature investigating the predictors of LAVIR following AF ablation. According to this data, younger patients without hypertension or moderate MR are most likely to experience LAVIR following ablation. Published on behalf of the European Society of Cardiology. All rights reserved.

Yazarlar (10)

1
Muhammed Ulvi Yalçın
2
Kadri Murat Gurses
3
Duygu Kocyigit
4
Banu Evranos
5
Hikmet Yorgun
6
Levent Sahiner
7
Ergün Barış Kaya
8
Mehmet Ali Oto
9
Kudret Aytemir
10
Necla Ozer

Anahtar Kelimeler

Atrial fibrillation Left atrial volume index Predictors Reverse remodelling

Kurumlar

Hacettepe Üniversitesi
Ankara Turkey
Kars State Hospital
Kars Turkey
T. C. Sağlık Bakanlığı Hakkari Devlet Hastanesi
Hakkari Turkey

Metrikler

4
Atıf
10
Yazar
4
Anahtar Kelime

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