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Echocardiographic predictors of atrial fibrillation recurrence after catheter ablation: A literature review.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Liżewska-Springer, Aleksandra Dąbrowska-Kugacka, Alicja Lewicka, Ewa Drelich, Łukasz Królak, Tomasz Raczak, Grzegorz |
| Copyright Year | 2013 |
| Abstract | BACKGROUND Catheter ablation (CA) is a well-known treatment option for patients with symptomatic drug-resistant atrial fibrillation (AF). Multiple factors have been identified to determine AF recurrence after CA, however their predictive value is rather small. Identification of novel predictors of CA outcome is therefore of primary importance to reduce health costs and improve long-term results of this intervention. The recurrence of AF following CA is related to the severity of left ventricular (LV) dysfunction, extend of atrial dilatation and fibrosis. The aim of this paper was to present and discuss the latest studies on utility of echocardiographic parameters in terms of CA effectiveness in patients with paroxysmal and persistent AF. METHODS PubMed, Google Scholar, EBSCO databases were searched for studies reporting echocardiographic preprocedural predictors of AF recurrence after CA. LV systolic and diastolic function, as well as atrial size, strain and dyssynchrony were taken into consideration. RESULTS Twenty one full-text articles were analyzed, including three meta-analyses. Several echocardiographic parameters have been reported to determine a risk of AF recurrence after CA. There are conventional methods that measure left atrial (LA) size and volume, LV ejection fraction, parameters assessing LV diastolic dysfunction, and methods using more innovative technologies based on speckle tracking echocardiography (STE) to determine LA synchrony and strain. Each of these parameters has its own predictive value. CONCLUSIONS Regarding CA effectiveness, every patient has to be evaluated individually to estimate the risk of AF recurrence, optimally using a combination of several echocardiographic parameters. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://journals.viamedica.pl/cardiology_journal/article/download/CJ.a2018.0067/44643 |
| PubMed reference number | 29924375v1 |
| Alternate Webpage(s) | https://doi.org/10.5603/CJ.a2018.0067 |
| DOI | 10.5603/cj.a2018.0067 |
| Journal | Cardiology journal |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | 2D Echocardiography Atrial Fibrillation Atrial Septal Defects Cardiac ablation Catheter related infection Diameter (qualifier value) Diastole Ejection fraction (procedure) Fibrosis Heart Atrium Left ventricular ejection fraction Meta Analysis (statistical procedure) Patients Population Parameter TLX1NB gene Ventricular Dysfunction, Left Ventricular Fibrillation diastolic dysfunction |
| Content Type | Text |
| Resource Type | Article |
