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Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation: a two-dimensional myocardial imaging study
- Source :
- Anatolian Journal of Cardiology
- Publication Year :
- 2009
- Publisher :
- Springer Science and Business Media LLC, 2009.
-
Abstract
- The objective of this study was to investigate atrial myocardial properties through two-dimensional (2D) myocardial imaging in patients with atrial fibrillation (AF) and its predictive role for recurrence after catheter ablation. Echocardiographic examinations were performed in 40 patients with paroxysmal AF before catheter ablation and 40 age- and gender-matched healthy control subjects. Using a software package, bidimensional acquisitions were analyzed to measure longitudinal strain and strain rate for the left atrium (LA). Systolic strain and strain rate in all eight segments, and its average values, were significantly reduced in AF patients compared to controls. During 9 months of follow-up after catheter ablation for AF, 11 of 40 AF patients had AF recurrence. AF recurrence was associated with gender, LA volume index, and average values of systolic strain and strain rate. By multivariate analysis, only average strain was an independent predictor of AF recurrence (OR = 0.88, 95% CI 0.79-0.98, p = 0.018). Lower systolic strain of LA was strongly associated with recurrence after catheter ablation. Thus, diverse adjunctive ablation strategies should be considered to reduce recurrence in patients with lower systolic strain.
- Subjects :
- Male
medicine.medical_specialty
Longitudinal strain
medicine.medical_treatment
Strain (injury)
Catheter ablation
Left atrial strain
Sensitivity and Specificity
Elastic Modulus
Physiology (medical)
Internal medicine
Atrial Fibrillation
medicine
Humans
Heart Atria
Letter to the Editor
business.industry
Reproducibility of Results
Atrial fibrillation
Middle Aged
Strain rate
Prognosis
medicine.disease
Myocardial imaging
Ablation
Treatment Outcome
Echocardiography
Catheter Ablation
Cardiology
Elasticity Imaging Techniques
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15728595 and 1383875X
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Journal of Interventional Cardiac Electrophysiology
- Accession number :
- edsair.doi.dedup.....6fe7d96f343c5d19f222c33de66188db