Total Atrial Conduction Time as a Predictor of Atrial Fibrillation Recurrence: A Systematic Review and Meta-Analysis.

Autor:	Chiotis S; From the Department of Cardiology, 424 Military Hospital, Thessaloniki, Greece., Doundoulakis I; Heart Rhythm Management Centre, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Brussels, Belgium.; First Department of Cardiology, National and Kapodistrian University, 'Hippokration' Hospital, Athens, Greece., Pagkalidou E; Department of Hygiene, Social-Preventive Medicine & Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece., Piperis C; Department of Cardiology, 401 Military Hospital, Athens, Greece., Zafeiropoulos S; Elmezzi Graduate School of Molecular Medicine, Northwell Health, Manhasset, NY.; Feinstein Institutes for Medical Research at Northwell Health, Manhasset, NY., Botis M; First Department of Cardiology, National and Kapodistrian University, 'Hippokration' Hospital, Athens, Greece., Haidich AB; Department of Hygiene, Social-Preventive Medicine & Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece., Economou F; From the Department of Cardiology, 424 Military Hospital, Thessaloniki, Greece., Chierchia GB; Heart Rhythm Management Centre, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Brussels, Belgium., de Asmundis C; Heart Rhythm Management Centre, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Brussels, Belgium., Tsiachris D; First Department of Cardiology, National and Kapodistrian University, 'Hippokration' Hospital, Athens, Greece., Vassilikos VP; From the Department of Cardiology, 424 Military Hospital, Thessaloniki, Greece.; 3rd Department of Cardiology, Aristotle University of Thessaloniki, Thessaloniki, Greece., Giannopoulos G; 3rd Department of Cardiology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Jazyk:	angličtina
Zdroj:	Cardiology in review [Cardiol Rev] 2025 Jan-Feb 01; Vol. 33 (1), pp. 70-76. Date of Electronic Publication: 2023 Jul 18.
DOI:	10.1097/CRD.0000000000000584
Abstrakt:	This systematic review and meta-analysis aims to evaluate the predictive value of total atrial conduction time (TACT) assessed by tissue Doppler echocardiography (PA-TDI) in atrial fibrillation (AF) recurrence in patients following a rhythm-control strategy. A systematic approach following Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines was applied in electronic databases (Pubmed, Cochrane Library, and Web of Science), supplemented by scanning through studies' references. TACT was compared using a random-effects model and presented as a difference in means (MD). The primary endpoint was AF recurrence. Seven publications were included in this systematic review. The mean age of the patients ranged from 55 years to 72 years. Prolonged TACT was associated with AF recurrence [MD, 23.12 msec; 95% confidence interval (CI), 11.54-34.71; I2 = 95%]. Subgroup analysis showed that prolonged TACT was strongly associated with AF recurrence in persistent AF cohorts undergoing electrical cardioversion (MD, 26.56; 95% CI, 15.51-37.6; I2 = 86%), while in patients with paroxysmal AF (PAF) undergoing catheter ablation, the results were not statistically significant (MD, 11.48; 95% CI, -1.19 to 24.14; I2 = 90%). The summary area under the curve (sAUC) using a random-effects model was 0.89 (95% CI, 0.80-0.99). TACT is a valuable echocardiographic parameter that can predict AF recurrence in patients following a rhythm-control strategy. Protocol registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022353018. Competing Interests: The authors have no conflicts of interest to report. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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