Prediction of sinus rhythm maintenance after radiofrequency ablation in patients with atrial fibrillation using speckle tracking echocardiography and dynamics of left atrial structural and functional parameters
نویسندگان
چکیده
Aim. To evaluate the dynamics of left atrial volume (LAV), strain (S) during reservoir phase and rate (SR) in patients with paroxysmal persistent fibrillation (AF), scheduled for catheter radiofrequency ablation (RFA), as well to compare predictive value S SR a marker maintaining sinus rhythm. Material methods . A total 19 (men, 11; women, 8) aged 62±10,7 years AF were included study, 13 (67%) whom had AF, while 6 (33%) Two-dimensional speckle tracking N. Sh. echocardiography (EPIQ 7, Philips) performed all before 12 months after RFA. Results. The divided into 2 groups: group 1 — no recurrent RFA (n=12; 63%); (n=7; 37%). According 2D echocardiography, baseline values LAV index (LAVI) did not significantly differ between groups 2: 56,0±12,6 ml 52,0±23,2 (p=0,78); 28,0±7,8 ml/m 25,1±13,6 (p=0,85), respectively. initial LA four-chamber (4C-) two-chamber (2C-) apical views 1patients higher than those from 4C-S, 34,3±9,9% 16,9±4,4% (p=0,0008); 2C-S, 29,2±8,3% 14,5±4,4% (p=0,0011), Baseline compared 4C- 2C-views: 4C-SR, 2,36±0,37 s -1 1,39±0,50 s-1 (p=0,0013); 2C-SR 2,09±0,39 1,4±0,53 (p=0,0053), became less its levels: 47,0±12,1 (p=0,008). LAVI also decreased follows: 22,6±8,3 (p=0,02). In 2, there was decrease either or months: LAV, 54,0±12,1 (p=1,0); LAVI, 30,9±7,6 (p=0,3). 1, significant change RFA: 30,3±9,6% (p=0,287); 28,9±9,1% (p=0,82). levels 2C-views depending on procedure: 17,4±6,2% (p=0,12); 16,5±6,8% (p=1,0). ROC analysis, optimal cut-off 4C-SR (1,8 (AUC=0,958)), (1,75 (AUC=0,899)), 4C-S (20,7% (AUC=0,976)), 2C-S (19,2% (AUC=0,964)) reliable individual predictors rhythm maintenance. Conclusion. stable maintained levels. have high recurrence effective RFA, without changing SR. There effect reverse remodeling improvement
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ژورنال
عنوان ژورنال: Russian Journal of Cardiology
سال: 2021
ISSN: ['1560-4071', '2618-7620']
DOI: https://doi.org/10.15829/1560-4071-2021-4256