Changes in Electrocardiographic P Wave Parameters after Cryoballoon Ablation and Their Association with Atrial Fibrillation Recurrence
| Autor: | Beytullah Cakal, İbrahim Oguz Karaca, Haci Murat Gunes, Mehmet Onur Omaygenç, Fatih Yılmaz, Filiz Kizilirmak, Fethi Kilicaslan, Fatih Erkam Olgun, Gultekin Gunhan Demir, Tayyar Gokdeniz, Ekrem Guler |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment P wave Atrial fibrillation General Medicine 030204 cardiovascular system & hematology medicine.disease Ablation Pulmonary vein 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine Cardiology 030212 general & internal medicine Cardiology and Cardiovascular Medicine business P wave amplitude Electrocardiography Cryoballoon ablation Paroxysmal AF |
| Zdroj: | Annals of Noninvasive Electrocardiology. 21:580-587 |
| ISSN: | 1082-720X |
| DOI: | 10.1111/anec.12364 |
| Popis: | Background Changes in P wave parameters after circumferential pulmonary vein isolation (CPVI) have been previously identified. In this study, we aimed to determine the changes in P wave parameters surface electrocardiogram (ECG) after cryoballoon ablation (CBA) for atrial fibrillation (AF) and evaluate their relationship with AF recurrence. Methods Sixty-one patients (mean age 53 ± 11 years, 50.8% male) with paroxysmal AF who underwent CBA were enrolled. A surface ECG was obtained from all patients immediately before the procedure, and repeated 12 hours after the procedure. P wave amplitude (Pamp), P wave duration (Pwd), and P wave dispersion (Pdis) values in preprocedural and postprocedural ECGs were measured and compared. Recurrence rates of AF in 3, 6, and 9 months following ablation were recorded for all patients. Changes in P wave parameters were compared between patients with and without AF recurrence. Results Compared to preprocedural measurements, Pamp (from 0.58 ± 0.18 mV at baseline to 0.48 ± 0.17 mV, P 0.05). Conclusion Pamp, Pwd, and Pdis parameters exhibited significant decrease after CBA compared to preprocedural measurements. Decreased Pamp was shown to be a predictor for good clinical outcomes following CBA. |
| Databáze: | OpenAIRE |
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