Left atrial functions in the early period after cryoballoon ablation for paroxysmal atrial fibrillation
Purpose In patients with paroxysmal atrial fibrillation (PAF), functional changes are observed in the left atrium (LA) after pulmonary vein isolation (PVI) procedure. Although previous studies have investigated the altered mechanical functions of the LA with radiofrequency (RF) ablation, changes in...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2023-08, Vol.46 (8), p.861-867 |
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| creator | Soysal, Ali Ugur Ozturk, Sila Onder, Sukriye Ebru Atici, Adem Tokdil, Hasan Raimoglu, Utku Gulfidan, Asli Yalman, Hakan Durmaz, Eser Ikitimur, Baris Yalin, Kivanc |
| description | Purpose
In patients with paroxysmal atrial fibrillation (PAF), functional changes are observed in the left atrium (LA) after pulmonary vein isolation (PVI) procedure. Although previous studies have investigated the altered mechanical functions of the LA with radiofrequency (RF) ablation, changes in the LA functions in the early period after cryoablation (CB‐2) have not been clearly demonstrated. This study aims to explore the early periodical changes in mechanical functions of the LA in patients with PAF who underwent CB‐2 based ablation through the help of echocardiographic methods which contain Doppler and strain parameters.
Methods
Consecutive 77 patients (mean age: 57.5 ± 11.2; 57% men) with PAF underwent CB‐2 were prospectively analyzed. All patients were in sinus rhythm before and after the procedure. The LA dimensions, the LA reservoir strain, the LA atrial contractile strain and the LA conduit strain and left ventricular diastolic function parameters were evaluated by Doppler echocardiography before and 3 months after the procedure.
Results
Acute procedural success was achieved in all cases. No major complications were observed. LA reservoir strain and LA contractile strain showed significant recovery after the procedure. (28.3 ± 12.8 vs. 34.6 ± 13.8, p |
| doi_str_mv | 10.1111/pace.14771 |
| format | Article |
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In patients with paroxysmal atrial fibrillation (PAF), functional changes are observed in the left atrium (LA) after pulmonary vein isolation (PVI) procedure. Although previous studies have investigated the altered mechanical functions of the LA with radiofrequency (RF) ablation, changes in the LA functions in the early period after cryoablation (CB‐2) have not been clearly demonstrated. This study aims to explore the early periodical changes in mechanical functions of the LA in patients with PAF who underwent CB‐2 based ablation through the help of echocardiographic methods which contain Doppler and strain parameters.
Methods
Consecutive 77 patients (mean age: 57.5 ± 11.2; 57% men) with PAF underwent CB‐2 were prospectively analyzed. All patients were in sinus rhythm before and after the procedure. The LA dimensions, the LA reservoir strain, the LA atrial contractile strain and the LA conduit strain and left ventricular diastolic function parameters were evaluated by Doppler echocardiography before and 3 months after the procedure.
Results
Acute procedural success was achieved in all cases. No major complications were observed. LA reservoir strain and LA contractile strain showed significant recovery after the procedure. (28.3 ± 12.8 vs. 34.6 ± 13.8, p < .001 and −10.8 ± 7.9 vs. −13.9 ± 9.3, p = .014 respectively). No significant change was demonstrated in other echocardiographic parameters.
Conclusion
Significant improvement in mechanical functions may occur even in the early period after cryoballoon ablation in patients with PAF.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.14771</identifier><identifier>PMID: 37377401</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Ablation ; Atrial fibrillation ; Cardiac arrhythmia ; Contractility ; cryoballoon ; Doppler effect ; Echocardiography ; Fibrillation ; Heart ; left atrial function ; strain ; Ventricle</subject><ispartof>Pacing and clinical electrophysiology, 2023-08, Vol.46 (8), p.861-867</ispartof><rights>2023 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3931-8e5877cad86606b313535e09e22458df203cb8a70d63c7c5cd0f4a5a48c816b13</citedby><cites>FETCH-LOGICAL-c3931-8e5877cad86606b313535e09e22458df203cb8a70d63c7c5cd0f4a5a48c816b13</cites><orcidid>0000-0001-6580-7954 ; 0000-0001-7671-661X ; 0000-0002-0834-1956</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.14771$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.14771$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37377401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soysal, Ali Ugur</creatorcontrib><creatorcontrib>Ozturk, Sila</creatorcontrib><creatorcontrib>Onder, Sukriye Ebru</creatorcontrib><creatorcontrib>Atici, Adem</creatorcontrib><creatorcontrib>Tokdil, Hasan</creatorcontrib><creatorcontrib>Raimoglu, Utku</creatorcontrib><creatorcontrib>Gulfidan, Asli</creatorcontrib><creatorcontrib>Yalman, Hakan</creatorcontrib><creatorcontrib>Durmaz, Eser</creatorcontrib><creatorcontrib>Ikitimur, Baris</creatorcontrib><creatorcontrib>Yalin, Kivanc</creatorcontrib><title>Left atrial functions in the early period after cryoballoon ablation for paroxysmal atrial fibrillation</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Purpose
In patients with paroxysmal atrial fibrillation (PAF), functional changes are observed in the left atrium (LA) after pulmonary vein isolation (PVI) procedure. Although previous studies have investigated the altered mechanical functions of the LA with radiofrequency (RF) ablation, changes in the LA functions in the early period after cryoablation (CB‐2) have not been clearly demonstrated. This study aims to explore the early periodical changes in mechanical functions of the LA in patients with PAF who underwent CB‐2 based ablation through the help of echocardiographic methods which contain Doppler and strain parameters.
Methods
Consecutive 77 patients (mean age: 57.5 ± 11.2; 57% men) with PAF underwent CB‐2 were prospectively analyzed. All patients were in sinus rhythm before and after the procedure. The LA dimensions, the LA reservoir strain, the LA atrial contractile strain and the LA conduit strain and left ventricular diastolic function parameters were evaluated by Doppler echocardiography before and 3 months after the procedure.
Results
Acute procedural success was achieved in all cases. No major complications were observed. LA reservoir strain and LA contractile strain showed significant recovery after the procedure. (28.3 ± 12.8 vs. 34.6 ± 13.8, p < .001 and −10.8 ± 7.9 vs. −13.9 ± 9.3, p = .014 respectively). No significant change was demonstrated in other echocardiographic parameters.
Conclusion
Significant improvement in mechanical functions may occur even in the early period after cryoballoon ablation in patients with PAF.</description><subject>Ablation</subject><subject>Atrial fibrillation</subject><subject>Cardiac arrhythmia</subject><subject>Contractility</subject><subject>cryoballoon</subject><subject>Doppler effect</subject><subject>Echocardiography</subject><subject>Fibrillation</subject><subject>Heart</subject><subject>left atrial function</subject><subject>strain</subject><subject>Ventricle</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp90E1LwzAAxvEgipvTix9AAl5E6EyW1x7HmC8w0IOeS5qmmtE1NWnRfntTOz14MJdA-PEnPACcYzTH8dw0Sps5pkLgAzDFjKJEYpYegimKj4kkMp2AkxC2CCGOKDsGEyKIEBThKXjdmLKFqvVWVbDsat1aVwdoa9i-GWiUr3rYGG9dAVXZGg-1712uqsq5Gqq8UoOHpfOwUd599mEXOz85m3tbjeQUHJWqCuZsf8_Ay-36eXWfbB7vHlbLTaJJSnAiDZNCaFVIzhHPCSaMMINSs1hQJotygYjOpRKo4EQLzXSBSqqYolJLzHNMZuBq7DbevXcmtNnOBm3iL2rjupAtJEGcpyKGZuDyD926ztfxd1FRySlD6aCuR6W9C8GbMmu83SnfZxhlw_zZMH_2PX_EF_tkl-9M8Ut_9o4Aj-DDVqb_J5U9LVfrMfoFR8eP7g</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Soysal, Ali Ugur</creator><creator>Ozturk, Sila</creator><creator>Onder, Sukriye Ebru</creator><creator>Atici, Adem</creator><creator>Tokdil, Hasan</creator><creator>Raimoglu, Utku</creator><creator>Gulfidan, Asli</creator><creator>Yalman, Hakan</creator><creator>Durmaz, Eser</creator><creator>Ikitimur, Baris</creator><creator>Yalin, Kivanc</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6580-7954</orcidid><orcidid>https://orcid.org/0000-0001-7671-661X</orcidid><orcidid>https://orcid.org/0000-0002-0834-1956</orcidid></search><sort><creationdate>202308</creationdate><title>Left atrial functions in the early period after cryoballoon ablation for paroxysmal atrial fibrillation</title><author>Soysal, Ali Ugur ; Ozturk, Sila ; Onder, Sukriye Ebru ; Atici, Adem ; Tokdil, Hasan ; Raimoglu, Utku ; Gulfidan, Asli ; Yalman, Hakan ; Durmaz, Eser ; Ikitimur, Baris ; Yalin, Kivanc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3931-8e5877cad86606b313535e09e22458df203cb8a70d63c7c5cd0f4a5a48c816b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Ablation</topic><topic>Atrial fibrillation</topic><topic>Cardiac arrhythmia</topic><topic>Contractility</topic><topic>cryoballoon</topic><topic>Doppler effect</topic><topic>Echocardiography</topic><topic>Fibrillation</topic><topic>Heart</topic><topic>left atrial function</topic><topic>strain</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soysal, Ali Ugur</creatorcontrib><creatorcontrib>Ozturk, Sila</creatorcontrib><creatorcontrib>Onder, Sukriye Ebru</creatorcontrib><creatorcontrib>Atici, Adem</creatorcontrib><creatorcontrib>Tokdil, Hasan</creatorcontrib><creatorcontrib>Raimoglu, Utku</creatorcontrib><creatorcontrib>Gulfidan, Asli</creatorcontrib><creatorcontrib>Yalman, Hakan</creatorcontrib><creatorcontrib>Durmaz, Eser</creatorcontrib><creatorcontrib>Ikitimur, Baris</creatorcontrib><creatorcontrib>Yalin, Kivanc</creatorcontrib><collection>PubMed</collection><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>Soysal, Ali Ugur</au><au>Ozturk, Sila</au><au>Onder, Sukriye Ebru</au><au>Atici, Adem</au><au>Tokdil, Hasan</au><au>Raimoglu, Utku</au><au>Gulfidan, Asli</au><au>Yalman, Hakan</au><au>Durmaz, Eser</au><au>Ikitimur, Baris</au><au>Yalin, Kivanc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left atrial functions in the early period after cryoballoon ablation for paroxysmal atrial fibrillation</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2023-08</date><risdate>2023</risdate><volume>46</volume><issue>8</issue><spage>861</spage><epage>867</epage><pages>861-867</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Purpose
In patients with paroxysmal atrial fibrillation (PAF), functional changes are observed in the left atrium (LA) after pulmonary vein isolation (PVI) procedure. Although previous studies have investigated the altered mechanical functions of the LA with radiofrequency (RF) ablation, changes in the LA functions in the early period after cryoablation (CB‐2) have not been clearly demonstrated. This study aims to explore the early periodical changes in mechanical functions of the LA in patients with PAF who underwent CB‐2 based ablation through the help of echocardiographic methods which contain Doppler and strain parameters.
Methods
Consecutive 77 patients (mean age: 57.5 ± 11.2; 57% men) with PAF underwent CB‐2 were prospectively analyzed. All patients were in sinus rhythm before and after the procedure. The LA dimensions, the LA reservoir strain, the LA atrial contractile strain and the LA conduit strain and left ventricular diastolic function parameters were evaluated by Doppler echocardiography before and 3 months after the procedure.
Results
Acute procedural success was achieved in all cases. No major complications were observed. LA reservoir strain and LA contractile strain showed significant recovery after the procedure. (28.3 ± 12.8 vs. 34.6 ± 13.8, p < .001 and −10.8 ± 7.9 vs. −13.9 ± 9.3, p = .014 respectively). No significant change was demonstrated in other echocardiographic parameters.
Conclusion
Significant improvement in mechanical functions may occur even in the early period after cryoballoon ablation in patients with PAF.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37377401</pmid><doi>10.1111/pace.14771</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6580-7954</orcidid><orcidid>https://orcid.org/0000-0001-7671-661X</orcidid><orcidid>https://orcid.org/0000-0002-0834-1956</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Ablation Atrial fibrillation Cardiac arrhythmia Contractility cryoballoon Doppler effect Echocardiography Fibrillation Heart left atrial function strain Ventricle |
| title | Left atrial functions in the early period after cryoballoon ablation for paroxysmal atrial fibrillation |
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