Speckle‐tracking echocardiography can predict atrial fibrillation in patients with supraventricular tachycardia

Purpose Atrioventricular nodal reentry tachycardia (AVNRT) is the most common supraventriculer arrhythmia in daily clinical practice. Comorbidity of AVNRT and atrial fibrillation (AF) has been well documented in some patients and AF development has been observed more frequently in AVNRT patients dur...

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Veröffentlicht in:Pacing and clinical electrophysiology 2021-08, Vol.44 (8), p.1387-1396
Hauptverfasser: Eren, Hayati, Acar, Rezzan Deniz, Demir, Serdar, Omar, Muhammed Bahadır, Öcal, Lütfi, kalkan, Mehmet Emin, Cerşit, Sinan, Akçakoyun, Mustafa
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container_issue 8
container_start_page 1387
container_title Pacing and clinical electrophysiology
container_volume 44
creator Eren, Hayati
Acar, Rezzan Deniz
Demir, Serdar
Omar, Muhammed Bahadır
Öcal, Lütfi
kalkan, Mehmet Emin
Cerşit, Sinan
Akçakoyun, Mustafa
description Purpose Atrioventricular nodal reentry tachycardia (AVNRT) is the most common supraventriculer arrhythmia in daily clinical practice. Comorbidity of AVNRT and atrial fibrillation (AF) has been well documented in some patients and AF development has been observed more frequently in AVNRT patients during their long‐term follow‐up. This study was conducted in order to investigate the left atrial two‐dimensional‐speckle‐tracking echocardiographic (STE) parametres as the predictors of the occurence of AF in long‐term follow‐up in patients with spontaneously developed AF during AVNRT ablation. Methods Two hundred and thirty two consecutive AVNRT patients who developed spontaneous AF during ablation procedure were included in the study. The patients were followed up for a mean follow‐up period of 6.2 ± 2.1 years. All patients were evaluated using the 2D‐STE method. AF was developed in 34 patients during the follow‐up period. Cox regression analysis was performed in order to identify the independent predictors of AF occurence. Results Left atrial LA‐res, LA‐pump, LA‐SRs, LA‐SRe, and LA‐SRa values were found to be significantly decreased in the group of patients that developed AF during the follow‐up period (p 
doi_str_mv 10.1111/pace.14304
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Comorbidity of AVNRT and atrial fibrillation (AF) has been well documented in some patients and AF development has been observed more frequently in AVNRT patients during their long‐term follow‐up. This study was conducted in order to investigate the left atrial two‐dimensional‐speckle‐tracking echocardiographic (STE) parametres as the predictors of the occurence of AF in long‐term follow‐up in patients with spontaneously developed AF during AVNRT ablation. Methods Two hundred and thirty two consecutive AVNRT patients who developed spontaneous AF during ablation procedure were included in the study. The patients were followed up for a mean follow‐up period of 6.2 ± 2.1 years. All patients were evaluated using the 2D‐STE method. AF was developed in 34 patients during the follow‐up period. Cox regression analysis was performed in order to identify the independent predictors of AF occurence. Results Left atrial LA‐res, LA‐pump, LA‐SRs, LA‐SRe, and LA‐SRa values were found to be significantly decreased in the group of patients that developed AF during the follow‐up period (p &lt; .001 for all aforementioned values). Multivariate cox regression analysis revealed that LA‐res (hazard ratio [HR], 0.367; 95% confidence interval [CI], 0.161–0.0.683, p &lt; .001) and SRe (HR, 0.472; 95% CI, 0.346–0.825, p = .006) were independent risk factors associated with the occurrence of AF. Conclusion In conclusion, it was demonstrated for the first time with this study that 2D‐STE can effectively predict the development of AF in long‐term follow‐up in patients with spontaneously developed AF during AVNRT ablation.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.14304</identifier><identifier>PMID: 34170550</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>2D‐speckle‐tracking echocardiography ; Ablation ; Arrhythmia ; atrial fibrillation ; Atrial Fibrillation - diagnostic imaging ; Atrial Fibrillation - etiology ; atrioventricular nodal reentry tachycardia ; Cardiac arrhythmia ; cathater ablation ; Catheter Ablation ; Echocardiography ; Echocardiography - methods ; Female ; Fibrillation ; Humans ; Male ; Middle Aged ; Patients ; Predictive Value of Tests ; Prospective Studies ; Regression analysis ; Risk factors ; Tachycardia ; Tachycardia, Supraventricular - diagnostic imaging ; Tachycardia, Supraventricular - surgery</subject><ispartof>Pacing and clinical electrophysiology, 2021-08, Vol.44 (8), p.1387-1396</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3164-ed11635f89808072486a9d6b04b6765b90c538d94d04f0ca49f238fe00bcc22f3</cites><orcidid>0000-0002-2159-064X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpace.14304$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.14304$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,45561,45562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34170550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eren, Hayati</creatorcontrib><creatorcontrib>Acar, Rezzan Deniz</creatorcontrib><creatorcontrib>Demir, Serdar</creatorcontrib><creatorcontrib>Omar, Muhammed Bahadır</creatorcontrib><creatorcontrib>Öcal, Lütfi</creatorcontrib><creatorcontrib>kalkan, Mehmet Emin</creatorcontrib><creatorcontrib>Cerşit, Sinan</creatorcontrib><creatorcontrib>Akçakoyun, Mustafa</creatorcontrib><title>Speckle‐tracking echocardiography can predict atrial fibrillation in patients with supraventricular tachycardia</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Purpose Atrioventricular nodal reentry tachycardia (AVNRT) is the most common supraventriculer arrhythmia in daily clinical practice. Comorbidity of AVNRT and atrial fibrillation (AF) has been well documented in some patients and AF development has been observed more frequently in AVNRT patients during their long‐term follow‐up. This study was conducted in order to investigate the left atrial two‐dimensional‐speckle‐tracking echocardiographic (STE) parametres as the predictors of the occurence of AF in long‐term follow‐up in patients with spontaneously developed AF during AVNRT ablation. Methods Two hundred and thirty two consecutive AVNRT patients who developed spontaneous AF during ablation procedure were included in the study. The patients were followed up for a mean follow‐up period of 6.2 ± 2.1 years. All patients were evaluated using the 2D‐STE method. AF was developed in 34 patients during the follow‐up period. Cox regression analysis was performed in order to identify the independent predictors of AF occurence. Results Left atrial LA‐res, LA‐pump, LA‐SRs, LA‐SRe, and LA‐SRa values were found to be significantly decreased in the group of patients that developed AF during the follow‐up period (p &lt; .001 for all aforementioned values). Multivariate cox regression analysis revealed that LA‐res (hazard ratio [HR], 0.367; 95% confidence interval [CI], 0.161–0.0.683, p &lt; .001) and SRe (HR, 0.472; 95% CI, 0.346–0.825, p = .006) were independent risk factors associated with the occurrence of AF. 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Acar, Rezzan Deniz ; Demir, Serdar ; Omar, Muhammed Bahadır ; Öcal, Lütfi ; kalkan, Mehmet Emin ; Cerşit, Sinan ; Akçakoyun, Mustafa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3164-ed11635f89808072486a9d6b04b6765b90c538d94d04f0ca49f238fe00bcc22f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>2D‐speckle‐tracking echocardiography</topic><topic>Ablation</topic><topic>Arrhythmia</topic><topic>atrial fibrillation</topic><topic>Atrial Fibrillation - diagnostic imaging</topic><topic>Atrial Fibrillation - etiology</topic><topic>atrioventricular nodal reentry tachycardia</topic><topic>Cardiac arrhythmia</topic><topic>cathater ablation</topic><topic>Catheter Ablation</topic><topic>Echocardiography</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Fibrillation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Regression analysis</topic><topic>Risk factors</topic><topic>Tachycardia</topic><topic>Tachycardia, Supraventricular - diagnostic imaging</topic><topic>Tachycardia, Supraventricular - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eren, Hayati</creatorcontrib><creatorcontrib>Acar, Rezzan Deniz</creatorcontrib><creatorcontrib>Demir, Serdar</creatorcontrib><creatorcontrib>Omar, Muhammed Bahadır</creatorcontrib><creatorcontrib>Öcal, Lütfi</creatorcontrib><creatorcontrib>kalkan, Mehmet Emin</creatorcontrib><creatorcontrib>Cerşit, Sinan</creatorcontrib><creatorcontrib>Akçakoyun, Mustafa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing &amp; 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Comorbidity of AVNRT and atrial fibrillation (AF) has been well documented in some patients and AF development has been observed more frequently in AVNRT patients during their long‐term follow‐up. This study was conducted in order to investigate the left atrial two‐dimensional‐speckle‐tracking echocardiographic (STE) parametres as the predictors of the occurence of AF in long‐term follow‐up in patients with spontaneously developed AF during AVNRT ablation. Methods Two hundred and thirty two consecutive AVNRT patients who developed spontaneous AF during ablation procedure were included in the study. The patients were followed up for a mean follow‐up period of 6.2 ± 2.1 years. All patients were evaluated using the 2D‐STE method. AF was developed in 34 patients during the follow‐up period. Cox regression analysis was performed in order to identify the independent predictors of AF occurence. Results Left atrial LA‐res, LA‐pump, LA‐SRs, LA‐SRe, and LA‐SRa values were found to be significantly decreased in the group of patients that developed AF during the follow‐up period (p &lt; .001 for all aforementioned values). Multivariate cox regression analysis revealed that LA‐res (hazard ratio [HR], 0.367; 95% confidence interval [CI], 0.161–0.0.683, p &lt; .001) and SRe (HR, 0.472; 95% CI, 0.346–0.825, p = .006) were independent risk factors associated with the occurrence of AF. Conclusion In conclusion, it was demonstrated for the first time with this study that 2D‐STE can effectively predict the development of AF in long‐term follow‐up in patients with spontaneously developed AF during AVNRT ablation.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34170550</pmid><doi>10.1111/pace.14304</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2159-064X</orcidid></addata></record>
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subjects 2D‐speckle‐tracking echocardiography
Ablation
Arrhythmia
atrial fibrillation
Atrial Fibrillation - diagnostic imaging
Atrial Fibrillation - etiology
atrioventricular nodal reentry tachycardia
Cardiac arrhythmia
cathater ablation
Catheter Ablation
Echocardiography
Echocardiography - methods
Female
Fibrillation
Humans
Male
Middle Aged
Patients
Predictive Value of Tests
Prospective Studies
Regression analysis
Risk factors
Tachycardia
Tachycardia, Supraventricular - diagnostic imaging
Tachycardia, Supraventricular - surgery
title Speckle‐tracking echocardiography can predict atrial fibrillation in patients with supraventricular tachycardia
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