Pre-Procedural Diastolic Function and Early Recurrence Are Related with Reverse Remodeling of Left Atrium after Catheter Ablation of Atrial Fibrillation

1 Year Follow-Up Echocardiographic Data

Hee Sun Mun, Jaemin Shim, Jin Wee, Boyoung Joung, Moon Hyoung Lee, Hui Nam Pak

Research output: Contribution to journalArticle

Abstract

Background: Although it has been known that radiofrequency Catheter ablation (RFCA) of atrial fibrillation (AF) induces reverse remodeling of atrium, its mechanism has not been evaluated yet. Methods: We included 156 patients with AF (male 78.1%, 56.3±10.7 years old, paroxysmal AF 66.7%) who underwent RFCA, and compared pre-procedural echocardiography and post-RFCA 1-year follow-up echocardiography. Results: 1. LA anterior-posterior diameter (pre 42.1±5.8mm vs. post 39.1 ±5.5mm, p<0.001), early transmitral flow velocity (E; pre 0.72±0.19m/sec vs. post 0.68±0.16m/sec, p=0.005), and mitral annular velocity (E 7.8± 2.3cm/sec vs. post 7.1±2.2cm/sec, p<0.001) were decreased 1 year after AF ablation. 2. When we compared the patients with reduced LA size (n=114) and those without LA reverse remodeling (n=42), pre-procedural E/Ecedil was significantly higher (10.4±4.0 vs. 8.4±2.5, p=0.002) in spite of similar left ventricular ejection fraction (p=0.294), and the early recurrence rate within 3months of ablation was lower (27.7% vs. 45.2%, p=0.028) in patients with LA reverse remodeling. 3. However, duration of RF energy delivery or late recurrence rate were not different between 2 groups. Conclusion: Pre-procedural diastolic dysfunction, but not the duration of RF energy delivery, was closely related with reverse remodeling of LA after AF Catheter ablation, and those without reverse remodeling of LA more frequently suffered from early recurrence of AF after ablation.

Original languageEnglish
Number of pages1
JournalJournal of Arrhythmia
Volume27
Issue number4
DOIs
Publication statusPublished - 2011 Jan 1
Externally publishedYes

Fingerprint

Catheter Ablation
Heart Atria
Atrial Fibrillation
Recurrence
Echocardiography
Atrial Remodeling
Stroke Volume

Keywords

  • atrial fibrillation
  • left atrium
  • transthoracic echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Pre-Procedural Diastolic Function and Early Recurrence Are Related with Reverse Remodeling of Left Atrium after Catheter Ablation of Atrial Fibrillation : 1 Year Follow-Up Echocardiographic Data. / Mun, Hee Sun; Shim, Jaemin; Wee, Jin; Joung, Boyoung; Lee, Moon Hyoung; Pak, Hui Nam.

In: Journal of Arrhythmia, Vol. 27, No. 4, 01.01.2011.

Research output: Contribution to journalArticle

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abstract = "Background: Although it has been known that radiofrequency Catheter ablation (RFCA) of atrial fibrillation (AF) induces reverse remodeling of atrium, its mechanism has not been evaluated yet. Methods: We included 156 patients with AF (male 78.1{\%}, 56.3±10.7 years old, paroxysmal AF 66.7{\%}) who underwent RFCA, and compared pre-procedural echocardiography and post-RFCA 1-year follow-up echocardiography. Results: 1. LA anterior-posterior diameter (pre 42.1±5.8mm vs. post 39.1 ±5.5mm, p<0.001), early transmitral flow velocity (E; pre 0.72±0.19m/sec vs. post 0.68±0.16m/sec, p=0.005), and mitral annular velocity (E 7.8± 2.3cm/sec vs. post 7.1±2.2cm/sec, p<0.001) were decreased 1 year after AF ablation. 2. When we compared the patients with reduced LA size (n=114) and those without LA reverse remodeling (n=42), pre-procedural E/Ecedil was significantly higher (10.4±4.0 vs. 8.4±2.5, p=0.002) in spite of similar left ventricular ejection fraction (p=0.294), and the early recurrence rate within 3months of ablation was lower (27.7{\%} vs. 45.2{\%}, p=0.028) in patients with LA reverse remodeling. 3. However, duration of RF energy delivery or late recurrence rate were not different between 2 groups. Conclusion: Pre-procedural diastolic dysfunction, but not the duration of RF energy delivery, was closely related with reverse remodeling of LA after AF Catheter ablation, and those without reverse remodeling of LA more frequently suffered from early recurrence of AF after ablation.",
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AU - Mun, Hee Sun

AU - Shim, Jaemin

AU - Wee, Jin

AU - Joung, Boyoung

AU - Lee, Moon Hyoung

AU - Pak, Hui Nam

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AB - Background: Although it has been known that radiofrequency Catheter ablation (RFCA) of atrial fibrillation (AF) induces reverse remodeling of atrium, its mechanism has not been evaluated yet. Methods: We included 156 patients with AF (male 78.1%, 56.3±10.7 years old, paroxysmal AF 66.7%) who underwent RFCA, and compared pre-procedural echocardiography and post-RFCA 1-year follow-up echocardiography. Results: 1. LA anterior-posterior diameter (pre 42.1±5.8mm vs. post 39.1 ±5.5mm, p<0.001), early transmitral flow velocity (E; pre 0.72±0.19m/sec vs. post 0.68±0.16m/sec, p=0.005), and mitral annular velocity (E 7.8± 2.3cm/sec vs. post 7.1±2.2cm/sec, p<0.001) were decreased 1 year after AF ablation. 2. When we compared the patients with reduced LA size (n=114) and those without LA reverse remodeling (n=42), pre-procedural E/Ecedil was significantly higher (10.4±4.0 vs. 8.4±2.5, p=0.002) in spite of similar left ventricular ejection fraction (p=0.294), and the early recurrence rate within 3months of ablation was lower (27.7% vs. 45.2%, p=0.028) in patients with LA reverse remodeling. 3. However, duration of RF energy delivery or late recurrence rate were not different between 2 groups. Conclusion: Pre-procedural diastolic dysfunction, but not the duration of RF energy delivery, was closely related with reverse remodeling of LA after AF Catheter ablation, and those without reverse remodeling of LA more frequently suffered from early recurrence of AF after ablation.

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