Atrial myxoma surgery and P‐wave remodeling
Introduction Data regarding atrial electrocardiographic parameters in patients with atrial myxomas are scarce. Methods We aimed to study atrial electrocardiographic features in patients with atrial myxomas, before and after surgery. We also analyze the incidence of atrial fibrillation during follow‐...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2022-09, Vol.45 (9), p.1160-1164 |
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| container_title | Pacing and clinical electrophysiology |
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| creator | Herrera, Cristian Bruña, Vanesa Barrio, Jose María Cuerpo, Gregorio Fernández‐Avilés, Francisco Bayés de Luna, Antonio Martínez‐Sellés, Manuel |
| description | Introduction
Data regarding atrial electrocardiographic parameters in patients with atrial myxomas are scarce.
Methods
We aimed to study atrial electrocardiographic features in patients with atrial myxomas, before and after surgery. We also analyze the incidence of atrial fibrillation during follow‐up and its correlation with different P‐wave indexes. In total 32 patients in sinus rhythm that underwent atrial myxoma surgery were included.
Results
Mean age was 55.0 ± 12.6 years and 18 (56.3%) were women. Ten patients had left atrial enlargement (31.3%). Only one myxoma was located in the right atrium. At baseline seven cases of partial interatrial block (IAB) were detected (21.9%), two in the absence of left atrial enlargement. There were significant differences in atrial electrocardiographic indexes before and after surgery, including P‐wave duration (108.9 ± 17.9 ms vs. 93.0 ± 12.4 ms; p |
| doi_str_mv | 10.1111/pace.14573 |
| format | Article |
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Data regarding atrial electrocardiographic parameters in patients with atrial myxomas are scarce.
Methods
We aimed to study atrial electrocardiographic features in patients with atrial myxomas, before and after surgery. We also analyze the incidence of atrial fibrillation during follow‐up and its correlation with different P‐wave indexes. In total 32 patients in sinus rhythm that underwent atrial myxoma surgery were included.
Results
Mean age was 55.0 ± 12.6 years and 18 (56.3%) were women. Ten patients had left atrial enlargement (31.3%). Only one myxoma was located in the right atrium. At baseline seven cases of partial interatrial block (IAB) were detected (21.9%), two in the absence of left atrial enlargement. There were significant differences in atrial electrocardiographic indexes before and after surgery, including P‐wave duration (108.9 ± 17.9 ms vs. 93.0 ± 12.4 ms; p < .001), partial IAB (21.9% vs. 3.1%; p = .012) and duration of P‐wave terminal force in lead V1 negativity (−0.6 ± 0.3 vs. −0.5 ± 0.3 mm; p = .034). At a mean follow‐up of 10.0 ± 5.5 years, 10 patients (31.3%) had experienced at least one episode of atrial fibrillation. Post‐operative P‐wave duration was associated with atrial fibrillation occurrence during follow‐up (Hazard ratio: 0.90, 95% confidence interval: 0.83–0.98; p = .020).
Conclusions
Abnormalities in atrial electrocardiographic indexes are common in atrial myxomas and frequently improve after surgery. Post‐operative P‐wave duration is associated with atrial fibrillation occurrence during follow‐up.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.14573</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc</publisher><subject>Cardiac arrhythmia ; cardiac surgery ; cardiac tumor ; Enlargement ; Fibrillation ; interatrial block ; Myxoma ; Patients ; P‐wave ; Surgery</subject><ispartof>Pacing and clinical electrophysiology, 2022-09, Vol.45 (9), p.1160-1164</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2643-e43b0d704e085966006c407772d8be9ac59e1a43716f8136ef29c11074cb58af3</citedby><cites>FETCH-LOGICAL-c2643-e43b0d704e085966006c407772d8be9ac59e1a43716f8136ef29c11074cb58af3</cites><orcidid>0000-0002-9048-9609</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.14573$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.14573$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids></links><search><creatorcontrib>Herrera, Cristian</creatorcontrib><creatorcontrib>Bruña, Vanesa</creatorcontrib><creatorcontrib>Barrio, Jose María</creatorcontrib><creatorcontrib>Cuerpo, Gregorio</creatorcontrib><creatorcontrib>Fernández‐Avilés, Francisco</creatorcontrib><creatorcontrib>Bayés de Luna, Antonio</creatorcontrib><creatorcontrib>Martínez‐Sellés, Manuel</creatorcontrib><title>Atrial myxoma surgery and P‐wave remodeling</title><title>Pacing and clinical electrophysiology</title><description>Introduction
Data regarding atrial electrocardiographic parameters in patients with atrial myxomas are scarce.
Methods
We aimed to study atrial electrocardiographic features in patients with atrial myxomas, before and after surgery. We also analyze the incidence of atrial fibrillation during follow‐up and its correlation with different P‐wave indexes. In total 32 patients in sinus rhythm that underwent atrial myxoma surgery were included.
Results
Mean age was 55.0 ± 12.6 years and 18 (56.3%) were women. Ten patients had left atrial enlargement (31.3%). Only one myxoma was located in the right atrium. At baseline seven cases of partial interatrial block (IAB) were detected (21.9%), two in the absence of left atrial enlargement. There were significant differences in atrial electrocardiographic indexes before and after surgery, including P‐wave duration (108.9 ± 17.9 ms vs. 93.0 ± 12.4 ms; p < .001), partial IAB (21.9% vs. 3.1%; p = .012) and duration of P‐wave terminal force in lead V1 negativity (−0.6 ± 0.3 vs. −0.5 ± 0.3 mm; p = .034). At a mean follow‐up of 10.0 ± 5.5 years, 10 patients (31.3%) had experienced at least one episode of atrial fibrillation. Post‐operative P‐wave duration was associated with atrial fibrillation occurrence during follow‐up (Hazard ratio: 0.90, 95% confidence interval: 0.83–0.98; p = .020).
Conclusions
Abnormalities in atrial electrocardiographic indexes are common in atrial myxomas and frequently improve after surgery. Post‐operative P‐wave duration is associated with atrial fibrillation occurrence during follow‐up.</description><subject>Cardiac arrhythmia</subject><subject>cardiac surgery</subject><subject>cardiac tumor</subject><subject>Enlargement</subject><subject>Fibrillation</subject><subject>interatrial block</subject><subject>Myxoma</subject><subject>Patients</subject><subject>P‐wave</subject><subject>Surgery</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp90LtOwzAUBmALgUQpLDxBJBaElGLH97GqykWqRAeYLdc5qVLlUuyGko1H4Bl5ElzCxMBZzvKdi36ELgmekFi3W-tgQhiX9AiNCGc4VYTrYzTChMlUUaVP0VkIG4yxwIyPUDrd-dJWSd2_t7VNQufX4PvENnmy_Pr43Ns3SDzUbQ5V2azP0UlhqwAXv32MXu7mz7OHdPF0_zibLlKXCUZTYHSFc4kZYMW1EPGYY1hKmeVqBdo6roFYRiURhSJUQJFpRwiWzK24sgUdo-th79a3rx2EnanL4KCqbANtF0wmdFyqMq0ivfpDN23nm_idySThVCstWVQ3g3K-DcFDYba-rK3vDcHmkJw5JGd-kouYDHhfVtD_I81yOpsPM99d3m6S</recordid><startdate>202209</startdate><enddate>202209</enddate><creator>Herrera, Cristian</creator><creator>Bruña, Vanesa</creator><creator>Barrio, Jose María</creator><creator>Cuerpo, Gregorio</creator><creator>Fernández‐Avilés, Francisco</creator><creator>Bayés de Luna, Antonio</creator><creator>Martínez‐Sellés, Manuel</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9048-9609</orcidid></search><sort><creationdate>202209</creationdate><title>Atrial myxoma surgery and P‐wave remodeling</title><author>Herrera, Cristian ; Bruña, Vanesa ; Barrio, Jose María ; Cuerpo, Gregorio ; Fernández‐Avilés, Francisco ; Bayés de Luna, Antonio ; Martínez‐Sellés, Manuel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2643-e43b0d704e085966006c407772d8be9ac59e1a43716f8136ef29c11074cb58af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cardiac arrhythmia</topic><topic>cardiac surgery</topic><topic>cardiac tumor</topic><topic>Enlargement</topic><topic>Fibrillation</topic><topic>interatrial block</topic><topic>Myxoma</topic><topic>Patients</topic><topic>P‐wave</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herrera, Cristian</creatorcontrib><creatorcontrib>Bruña, Vanesa</creatorcontrib><creatorcontrib>Barrio, Jose María</creatorcontrib><creatorcontrib>Cuerpo, Gregorio</creatorcontrib><creatorcontrib>Fernández‐Avilés, Francisco</creatorcontrib><creatorcontrib>Bayés de Luna, Antonio</creatorcontrib><creatorcontrib>Martínez‐Sellés, Manuel</creatorcontrib><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herrera, Cristian</au><au>Bruña, Vanesa</au><au>Barrio, Jose María</au><au>Cuerpo, Gregorio</au><au>Fernández‐Avilés, Francisco</au><au>Bayés de Luna, Antonio</au><au>Martínez‐Sellés, Manuel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial myxoma surgery and P‐wave remodeling</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><date>2022-09</date><risdate>2022</risdate><volume>45</volume><issue>9</issue><spage>1160</spage><epage>1164</epage><pages>1160-1164</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Introduction
Data regarding atrial electrocardiographic parameters in patients with atrial myxomas are scarce.
Methods
We aimed to study atrial electrocardiographic features in patients with atrial myxomas, before and after surgery. We also analyze the incidence of atrial fibrillation during follow‐up and its correlation with different P‐wave indexes. In total 32 patients in sinus rhythm that underwent atrial myxoma surgery were included.
Results
Mean age was 55.0 ± 12.6 years and 18 (56.3%) were women. Ten patients had left atrial enlargement (31.3%). Only one myxoma was located in the right atrium. At baseline seven cases of partial interatrial block (IAB) were detected (21.9%), two in the absence of left atrial enlargement. There were significant differences in atrial electrocardiographic indexes before and after surgery, including P‐wave duration (108.9 ± 17.9 ms vs. 93.0 ± 12.4 ms; p < .001), partial IAB (21.9% vs. 3.1%; p = .012) and duration of P‐wave terminal force in lead V1 negativity (−0.6 ± 0.3 vs. −0.5 ± 0.3 mm; p = .034). At a mean follow‐up of 10.0 ± 5.5 years, 10 patients (31.3%) had experienced at least one episode of atrial fibrillation. Post‐operative P‐wave duration was associated with atrial fibrillation occurrence during follow‐up (Hazard ratio: 0.90, 95% confidence interval: 0.83–0.98; p = .020).
Conclusions
Abnormalities in atrial electrocardiographic indexes are common in atrial myxomas and frequently improve after surgery. Post‐operative P‐wave duration is associated with atrial fibrillation occurrence during follow‐up.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/pace.14573</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9048-9609</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Cardiac arrhythmia cardiac surgery cardiac tumor Enlargement Fibrillation interatrial block Myxoma Patients P‐wave Surgery |
| title | Atrial myxoma surgery and P‐wave remodeling |
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