Atrial electromechanical delay assessment in early phase after catheter ablation for patients with atrial fibrillation.

Background: Variation of atrial electromechanical delay (AED) in early phase after catheter ablation in patients with atrial fibrillation (AF) is lacking. Methods: Fifty‐five consecutive patients restored sinus rhythm after ablation was included. Echocardiography was performed at 4 h, 1 day, and 3 d...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 42; no. 3; pp. 327 - 333
Autores principales: Chen, Xiaodong, Liu, Hailei, Zhang, Yi, Wang, Chunru, Xu, Di, Yang, Bing, Ju, Weizhu, Zhang, Fengxiang, Chen, Hongwu, Cao, Kejiang, Chen, Minglong
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Atrial electromechanical delay assessment in early phase after catheter ablation for patients with atrial fibrillation.
      aug:
        au:
          Chen, Xiaodong
          Liu, Hailei
          Zhang, Yi
          Wang, Chunru
          Xu, Di
          Yang, Bing
          Ju, Weizhu
          Zhang, Fengxiang
          Chen, Hongwu
          Cao, Kejiang
          Chen, Minglong
        affil: Department of Cardiology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing China
      sug:
        subj:
          Heart Atrium Ultrasonography
          Catheter Ablation
          Atrial Fibrillation
          Human
          Echocardiography, Doppler, Pulsed
          Electrophysiology
          Heart Atrium Physiopathology
          Heart Conduction System
      ab: Background: Variation of atrial electromechanical delay (AED) in early phase after catheter ablation in patients with atrial fibrillation (AF) is lacking. Methods: Fifty‐five consecutive patients restored sinus rhythm after ablation was included. Echocardiography was performed at 4 h, 1 day, and 3 days after radiofrequency catheter ablation, and AED was measured simultaneously by echocardiography with pulse Doppler imaging and pulse wave tissue Doppler imaging. Results: AED parameters were significantly longer in the nonparoxysmal atrial fibrillation (NPAF) group than in the paroxysmal atrial fibrillation (PAF) group at each checking point after ablation (P < 0.05). Compared with other checking points, AED parameters were significantly longer 4 h postablation in the NPAF group, while no significant difference was found between different checking points in the PAF group. AED‐leap, representing the variation of AED in NPAF patients, was significantly positively correlated with the duration of NPAF (r = 0.5291, P = 0.0113). Conclusions: Compared with PAF, NPAF patients have a longer AED postablation, and an abrupt decrease in the initial–h postablation. Such phenomenon gives rise to the different clinical features of PAF and NPAF, and could guide different assessment and treatment strategies for different types of AF.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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