Decreased left atrial global longitudinal strain predicts the risk of atrial fibrillation recurrence after cryoablation in paroxysmal atrial fibrillation

Koca H., Demirtas A. O., KAYPAKLI O., Icen Y. K., Sahin D. Y., Koca F., ...Daha Fazla

Journal of Interventional Cardiac Electrophysiology, cilt.58, sa.1, ss.51-59, 2020 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 58 Sayı: 1
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1007/s10840-019-00573-4
  • Dergi Adı: Journal of Interventional Cardiac Electrophysiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Agricultural & Environmental Science Database, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.51-59
  • Anahtar Kelimeler: Cryoablation, Left atrial global longitudinal strain, Paroxysmal atrial fibrillation
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

Purpose: We aimed to investigate the association of atrial fibrillation (AF) recurrence with left atrial (LA) strain in nonvalvular paroxysmal AF patients after cryoablation. Methods: We included 190 patients who underwent successful cryoablation due to paroxysmal AF. In addition to classical echocardiographic data, LA apical 2-chamber (A2C) strain, LA apical 4-chamber (A4C) strain, and LA global longitudinal strain (LA-GLS) values were calculated by speckle tracking echocardiography. Forty-eight-hour Holter monitoring was performed to all patients no later than 6 months after ablation. Results: AF recurrence was detected in 42 patients (22.1%). End-systolic diameter, LA end-systolic diameter, LA-volume, LA-volume index, interatrial septum thickness, coronary sinus diameter, epicardial fat thickness (EFT), and septal E/Eˋ ratio were significantly higher, LV-EF, IVRT, septal S and Aˋ wave, lateral S wave, LA-A2C strain, LA-A4C strain, and LA-GLS were significantly lower in patients with AF recurrence. LA-GLS, LA-volume index, and EFT were found to be independent parameters for predicting AF recurrence. Conclusions: LA-GLS and LAVI should be included in routine evaluations to determine long-term AF recurrence preoperatively.