Patent foramen ovale and left atrial appendage flow velocity predict atrial fibrillation recurrence post cryoballoon ablation
| Autor: | Agnieszka Olszanecka, Aleksander Kusiak, Marek Rajzer, Adam Bednarski, Wiktoria Wojciechowska, Marek Jastrzębski, Tomasz Sondej, Agnieszka Bednarek, Grzegorz Kiełbasa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Foramen Ovale Patent 030204 cardiovascular system & hematology Pulmonary vein 03 medical and health sciences 0302 clinical medicine Left atrial Internal medicine Atrial Fibrillation medicine Humans Atrial Appendage Heart Atria Cryoballoon ablation Survival analysis Mitral regurgitation business.industry Atrial fibrillation Middle Aged medicine.disease Ablation Patent foramen ovale Cardiology Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal |
| Popis: | Background: Transesophageal echocardiography (TEE) allows detailed characterization of atrial fibrillation (AF) substrate and could be valuable for predicting pulmonary vein isolation (PVI) procedure outcomes. Aims: We aimed at assessing the value of TEE-derived left atrial (LA) and LA appendage (LAA) features as prognostic markers for AF recurrence after cryoballoon-based ablation. Methods: Patients were enrolled using a prospective database of consecutive PVI procedures performed over a 7-year period. The following TEE-derived parameters were investigated: LAA emptying flow velocity (LAA-FV), the presence of patent foramen ovale (PFO), LA spontaneous echo contrast, and mitral regurgitation. Diagnosis of AF recurrence was based on scheduled and symptoms triggered ECG monitoring. The Cox’s regression model and Kaplan-Meier survival curves were applied for statistical analysis. Results: A total of 417 consecutive patients who underwent their first PVI using cryoballoon were analyzed (mean age: 59 years). AF recurrence was noted in 25.7% of patients (median follow-up of 24 months). Four TEE-derived variables had predictive values for AF recurrence: LAA-FV |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|