Changes in left atrial structure and function after catheter ablation and electrical cardioversion for atrial fibrillation

Jongil Choi, Seong-Mi Park, Seok Park Jae, Soon Jun Hong, Hui Nam Pak, Do-Sun Lim, Young Hoon Kim, Wan Joo Shim

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Background: The aim of this study was to assess whether the morphological and functional changes of the left atrium (LA) differ after catheter ablation (ABL) from those after electrical cardioversion (ECV) in atrial fibrillation (AF). Methods and Results: AF patients who had maintained sinus rhythm for 3 months after either ECV (n=30) or ABL (n=33) were studied. Both 2-dimensional and Doppler echocardiography were performed at baseline, 1 week, 1 month, and 3 months after these procedures. LA dimensions, mitral inflow velocity, and tissue Doppler imaging of the mitral annulus were examined. LA dimensions decreased in both groups. The mean late mitral annulus velocity increased from 1 week to 3 months in both groups, but the mean late transmitral peak velocity increased only in the ECV group (42.1±14.4 cm/s to 56.7±14.8 cm/s, p<0.001 vs 38.7±12.5 cm/s to 44.8±16.7 cm/s, p=NS). Conclusion: Reverse morphological remodeling of the LA occurred after successful ABL and ECV for AF. However, because LA function was lower in the ABL group than in the ECV group and did not recover to the baseline levels until 3 months after ABL, a meticulous anticoagulation program should be considered.

Original languageEnglish
Pages (from-to)2051-2057
Number of pages7
JournalCirculation Journal
Volume72
Issue number12
DOIs
Publication statusPublished - 2008 Dec 3

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Left Atrial Function
Electric Countershock
Catheter Ablation
Heart Atria
Atrial Fibrillation
Doppler Echocardiography

Keywords

  • Atrial fibrillation
  • Catheter ablation
  • Electrical cardioversion
  • Remodeling

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Changes in left atrial structure and function after catheter ablation and electrical cardioversion for atrial fibrillation. / Choi, Jongil; Park, Seong-Mi; Jae, Seok Park; Hong, Soon Jun; Pak, Hui Nam; Lim, Do-Sun; Kim, Young Hoon; Shim, Wan Joo.

In: Circulation Journal, Vol. 72, No. 12, 03.12.2008, p. 2051-2057.

Research output: Contribution to journalArticle

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AU - Jae, Seok Park

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AU - Pak, Hui Nam

AU - Lim, Do-Sun

AU - Kim, Young Hoon

AU - Shim, Wan Joo

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AB - Background: The aim of this study was to assess whether the morphological and functional changes of the left atrium (LA) differ after catheter ablation (ABL) from those after electrical cardioversion (ECV) in atrial fibrillation (AF). Methods and Results: AF patients who had maintained sinus rhythm for 3 months after either ECV (n=30) or ABL (n=33) were studied. Both 2-dimensional and Doppler echocardiography were performed at baseline, 1 week, 1 month, and 3 months after these procedures. LA dimensions, mitral inflow velocity, and tissue Doppler imaging of the mitral annulus were examined. LA dimensions decreased in both groups. The mean late mitral annulus velocity increased from 1 week to 3 months in both groups, but the mean late transmitral peak velocity increased only in the ECV group (42.1±14.4 cm/s to 56.7±14.8 cm/s, p<0.001 vs 38.7±12.5 cm/s to 44.8±16.7 cm/s, p=NS). Conclusion: Reverse morphological remodeling of the LA occurred after successful ABL and ECV for AF. However, because LA function was lower in the ABL group than in the ECV group and did not recover to the baseline levels until 3 months after ABL, a meticulous anticoagulation program should be considered.

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