Electrolyte and hemodynamic changes following percutaneous left atrial appendage ligation with the LARIAT device

Autor: Dhanunjaya Lakkireddy, Sudharani Bommana, Arun Raghav Mahankali Sridhar, Muhammad R. Afzal, Sampath Gunda, Rajasingh Johnson, Ryan Maybrook, Madhu Reddy, Arun Kanmanthareddy, Ryan Ferrell, Matthew Earnest, Buddhadeb Dawn, Jayant Nath, Jayasree Pillarisetti, Donita Atkins, Brent Deibert, Sandeep Koripalli, Vivek Yarlagadda
Rok vydání: 2015
Předmět:
Zdroj: Journal of Interventional Cardiac Electrophysiology. 43:245-251
ISSN: 1572-8595
1383-875X
Popis: The left atrial appendage (LAA) is a well-known source of atrial natriuretic peptide (ANP) and therefore plays an important role in homeostasis. The neurohormonal impact of epicardial exclusion of the LAA with the LARIAT procedure is unknown. In this proof-of-concept study, we postulated that LAA exclusion would impact homeostasis as evidenced by changes in electrolytes and blood pressure (BP). A total of 76 patients who underwent successful LAA exclusion were enrolled in this retrospective observational study utilizing a prospective registry. Electrolytes, BP, and heart rate (HR) were monitored before LARIAT and post-LARIAT (24 and 72 h and 6 months). There was a significant reduction of systolic BP (mmHg) at 24 h (113.3 ± 16.0; p
Databáze: OpenAIRE