Total atrial conduction time as a possible predictor of atrial fibrillation recurrence after catheter ablation for paroxysmal atrial fibrillation: relationship between electrical atrial remodeling and structural atrial remodeling time courses
Total atrial conduction time as a possible predictor of atrial fibrillation recurrence after catheter ablation for paroxysmal atrial fibrillation: relationship between electrical atrial remodeling and structural atrial remodeling time courses
复制标题
总心房传导时间作为阵发性心房颤动导管消融术后房颤复发的可能预测因子：心房电重构与心房结构重构时程之间的关系
DOI：
10.1007/s10396-021-01090-6
复制
发表时间：
2021
影响因子：
1.8
通讯作者：
Hashiguchi Teruto
中科院分区：
文献类型：
--
作者：
Maenosono Ryuichi;Mizukami Naoko;Ichiki Hitoshi;Oketani Naoya;Namino Fuminori;Masamoto Izumi;Yuasa Toshinori;Yamakuchi Munekazu;Ohishi Mitsuru;Hashiguchi Teruto
目的近年来，组织多普勒成像测量的心房总传导时间（PA-TDI持续时间）已被报道为比左心房容积指数（LAVI）更准确的预测房颤（AF）导管消融术后复发的指标。认为PA-TDI持续时间反映了右心房（RA）和左心房（LA）的电重构和结构重构。我们试图调查AF复发和PA-TDI持续时间AF ablation.MethodsWe研究了209例患者进行射频消融阵发性AF和75例患者进行第二次消融AF复发之间的关联。我们评估了从体表心电图P波开始到远端冠状窦（CS）心房电图的持续时间（PA-CSd持续时间），表明心房的电重构，PA-CS近端持续时间（PA-CSp持续时间）代表RA的电重构，CS（近端到远端）的传导时间（CSp-CSd持续时间）反映LA的电重构。我们还测量了LAVI的结构重塑的LA.ResultsThe PA-TDI持续时间与PA-CSd持续时间呈正相关。房颤复发患者第二次消融时PA-TDI、PA-CSd和CSp-CSd持续时间均明显长于第一次消融时结论房颤消融后PA-TDI持续时间延长可能提示左心房电重构的进展，并可预测阵发性房颤患者消融术后房颤复发。
PurposeRecently, the estimated total atrial conduction time measured using tissue Doppler imaging (PA-TDI duration) has been reported as a more accurate predictor of atrial fibrillation (AF) recurrence after catheter ablation than left atrial volume index (LAVI). The PA-TDI duration is considered to reflect electrical and structural remodeling in the right atrium (RA) and left atrium (LA). We sought to investigate the association between AF recurrence and PA-TDI duration after AF ablation.MethodsWe studied 209 patients who underwent radiofrequency ablation for paroxysmal AF and 75 patients who underwent second ablation for AF recurrence. We assessed the duration from the onset of the P wave on the surface electrocardiogram to the atrial electrogram in distal coronary sinus (CS) (PA-CSd duration) indicating electrical remodeling of the atrium, the PA-CS proximal duration (PA-CSp duration) representing electrical remodeling of RA, and the conduction time in CS (proximal to distal) (CSp-CSd duration) reflecting electrical remodeling of LA. We also measured LAVI as a marker of structural remodeling of LA.ResultsThe PA-TDI duration had a positive correlation with PA-CSd duration. In the patients with AF recurrence, PA-TDI duration, PA-CSd duration, and CSp-CSd duration in the second ablation were significantly longer than those in the first (p< 0.01, respectively), whereas there was no significant difference in LAVI and PA-CSp duration between the first and second ablation sessions.ConclusionA prolonged PA-TDI duration after AF ablation may indicate advanced electrical remodeling of LA, and may predict AF recurrence after ablation in patients with paroxysmal AF.
登录
查看更多内容
影响因子：
6.1
作者：
Abecasis, Joao;Dourado, Raquel;Silva, Aniceto
通讯作者：
Silva, Aniceto
影响因子：
1.5
作者：
Li, Jin-yi;Jiang, Jing-bo;He, Yan
通讯作者：
He, Yan
影响因子：
37.8
作者：
Hussein, Ayman A.;Saliba, Walid I.;Wazni, Oussama M.
通讯作者：
Wazni, Oussama M.
DOI：
--
发表时间：
--
期刊：
--
影响因子：
--
作者：
Abramson Dh;Marr Bp;Brodie Se;Dunkel Ij;L. A;F. R;Gobin Yp;Akerson Vl;Donnelly La;Riggs Ml;E. J.;Aladily Tn;Medeiros Lj;A. Me;Litman Hj;Richter He;L. Ge;Sirls Lt;Chai Tc;Norton P;Kraus Sr;Zyczynski H;Kenton K;Gormley Ea;A. Jamil;Mody R;K. A.;M. M.-M.;Huang J;Anekstein Y Mirovsky;Arnabitsky V Gelfer;Zaltz I;Smorgick Y;M. Angoa‐Pérez;Kane Mj;Briggs Di;Sykes Ce;S. Mm;Francescutti Dm;R. Dr;Thomas Dm;Kuhns Dm;S. Ke;Mohammed Am;A. T;Wong Sc;Mitchell Pc;Tokunaga Cc;Ch'en Yh;L. Dang;Giblin Fj;Trese Mt;Bain Ee;A. G.;Sangal Rb;Robieson Wz;Mcneil Dl;Abi-Saab Wm;S. Md;Wolters Kluwer;Health Full-Text;Barger Rl;Nandalur Kr;B. A;Shah C;M. J.;Nadeau L Stein;J. R.;Robert Jm;Baschnagel Am;Wilkinson Jb;Dekhne N;Arthur Dw;Vicini Fa;B. A;Galens S;R. a;W. R.;S. B.;P. K.;Anderson W;B. M.;M. R;M. J;Bee Mt;Montante Jm;G. G;Forbes Wc;Beitsch Pd;H. B. Fine;Whitworth P Kuerer;Zannis V;L. M;B. A;H. C;E. J;Sadosky A Oster;Boyanton Bl;S. P.;L. Cr;Pesta C Gonzalez-Krellwitz;R. B.;R. P.;A. Boyer;A. M.;Request Form;Brush Gs;Najor Na;Dombkowski Aa;C. D.;Sawarynski Ke;Budge Md;Moravek Je;Zimel Mn;Nolan Em;Wiater Jm;Burks Fn;A. Liu;Suh Rs;Schuster Tg;B. T;M. Da;Knapp Pm;Murtagh Ds;Dunn Rl;Montie Je;Miller;H. Calkins;Kuck Kh;Cappato R Brugada;Camm Aj;S-A Chen;Crijns Hjg;D. Rj;Davies Dw;D. J;E. J;Ellenbogen K;E. Md;Haines De;H. Hindricks;Iesaka Y;J. W.;J. J;Jais P;Kalman J Keane;D. Kim;Y.-H.;K. Klein;Kottkamp H;Kumagai K;L. Bd;M. M.-M.;Marchlinski Fe;Mccarthy Pm;M. Jl;M. F.;Nademanee K;N. H.;N. A.;Pappone C;Prystowsky E;R. A. Reddy;Ruskin Jn;Shemin Rj;H. Tsao;W. D;Campochiaro Pa;Brown Dm;Pearson A;C. S. Boyer;D. Ruiz-Moreno;Garretson B;Gupta A;Hariprasad Sm;Bailey C;Reichel E Soubrane;K. B.;B. K.;K. Fe;G. K
通讯作者：
Abramson Dh;Marr Bp;Brodie Se;Dunkel Ij;L. A;F. R;Gobin Yp;Akerson Vl;Donnelly La;Riggs Ml;E. J.;Aladily Tn;Medeiros Lj;A. Me;Litman Hj;Richter He;L. Ge;Sirls Lt;Chai Tc;Norton P;Kraus Sr;Zyczynski H;Kenton K;Gormley Ea;A. Jamil;Mody R;K. A.;M. M.-M.;Huang J;Anekstein Y Mirovsky;Arnabitsky V Gelfer;Zaltz I;Smorgick Y;M. Angoa‐Pérez;Kane Mj;Briggs Di;Sykes Ce;S. Mm;Francescutti Dm;R. Dr;Thomas Dm;Kuhns Dm;S. Ke;Mohammed Am;A. T;Wong Sc;Mitchell Pc;Tokunaga Cc;Ch'en Yh;L. Dang;Giblin Fj;Trese Mt;Bain Ee;A. G.;Sangal Rb;Robieson Wz;Mcneil Dl;Abi-Saab Wm;S. Md;Wolters Kluwer;Health Full-Text;Barger Rl;Nandalur Kr;B. A;Shah C;M. J.;Nadeau L Stein;J. R.;Robert Jm;Baschnagel Am;Wilkinson Jb;Dekhne N;Arthur Dw;Vicini Fa;B. A;Galens S;R. a;W. R.;S. B.;P. K.;Anderson W;B. M.;M. R;M. J;Bee Mt;Montante Jm;G. G;Forbes Wc;Beitsch Pd;H. B. Fine;Whitworth P Kuerer;Zannis V;L. M;B. A;H. C;E. J;Sadosky A Oster;Boyanton Bl;S. P.;L. Cr;Pesta C Gonzalez-Krellwitz;R. B.;R. P.;A. Boyer;A. M.;Request Form;Brush Gs;Najor Na;Dombkowski Aa;C. D.;Sawarynski Ke;Budge Md;Moravek Je;Zimel Mn;Nolan Em;Wiater Jm;Burks Fn;A. Liu;Suh Rs;Schuster Tg;B. T;M. Da;Knapp Pm;Murtagh Ds;Dunn Rl;Montie Je;Miller;H. Calkins;Kuck Kh;Cappato R Brugada;Camm Aj;S-A Chen;Crijns Hjg;D. Rj;Davies Dw;D. J;E. J;Ellenbogen K;E. Md;Haines De;H. Hindricks;Iesaka Y;J. W.;J. J;Jais P;Kalman J Keane;D. Kim;Y.-H.;K. Klein;Kottkamp H;Kumagai K;L. Bd;M. M.-M.;Marchlinski Fe;Mccarthy Pm;M. Jl;M. F.;Nademanee K;N. H.;N. A.;Pappone C;Prystowsky E;R. A. Reddy;Ruskin Jn;Shemin Rj;H. Tsao;W. D;Campochiaro Pa;Brown Dm;Pearson A;C. S. Boyer;D. Ruiz-Moreno;Garretson B;Gupta A;Hariprasad Sm;Bailey C;Reichel E Soubrane;K. B.;B. K.;K. Fe;G. K
复杂分割心房电图软件在心房颤动基质消融中的最佳设置
影响因子：
2
作者：
Fuminori Namino;Yasuhisa Iriki;Ryuichi Maenosono;H. Ichiki;Hideki Okui;Akino Yoshimura;N. Oketani;Masakaze Matsushita;M. Ohishi;T. Hashiguchi
通讯作者：
T. Hashiguchi