Left atrial strain for predicting recurrence in patients with non-valvular atrial fibrillation after catheter ablation: a single-center two-dimensional speckle tracking retrospective study

Bibliographic Details
Title: Left atrial strain for predicting recurrence in patients with non-valvular atrial fibrillation after catheter ablation: a single-center two-dimensional speckle tracking retrospective study
Authors: Yuanzhi Li, Yidan Li, Lanlan Sun, Xiaoguang Ye, Qizhe Cai, Weiwei Zhu, Dichen Guo, Xueyan Ding, Jiangtao Wang, Xiuzhang Lv
Source: BMC Cardiovascular Disorders, Vol 22, Iss 1, Pp 1-10 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Atrial fibrillation, Catheter ablation, Speckle tracking cardiography, Recurrence, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Abstract Background Although catheter ablation (CA) is an effective treatment for non-valvular atrial fibrillation (AF), a good many of patients still have a recurrence following post-operation. Prediction of AF recurrence by evaluating left atrial (LA) phase function with speckle tracking echocardiography (STE) may be helpful for risk stratification and clinical management for AF patients. Therefore, the current study aimed to assess the prognostic value of LA strains in non-valvular AF patients after CA. Methods A total of 95 non-valvular AF patients (70.5% paroxysmal AF, 56.8% males, mean age 63.2 ± 9.7 years) were included in this retrospective study between October 2019 and August 2020. Transthoracic echocardiography was performed in all the subjects and STE was used to analyze the LA reservoir strain (LASr), LA conduit strain (LAScd) and LA contractile strain (LASct) during different phases before CA. Patients were followed up with until January 2022. The endpoint was AF recurrence. Results Over a median follow-up period of 26.0 months (interquartile range, 24.7–26.7 months), 26 patients experienced recurrence and 69 stayed in sinus rhythm. Compared with no-recurrence group, maximum volume of LA (LAVmax), minimum volume of LA (LAVmin) and LA volume index (LAVI) were increased in the recurrence group, while LAEF, LASr and LASct were worsened (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2261
Relation: https://doaj.org/toc/1471-2261
DOI: 10.1186/s12872-022-02916-y
Access URL: https://doaj.org/article/b06217b601a3481fb963e2ba871aa0fa
Accession Number: edsdoj.b06217b601a3481fb963e2ba871aa0fa
Database: Directory of Open Access Journals
More Details
ISSN:14712261
DOI:10.1186/s12872-022-02916-y
Published in:BMC Cardiovascular Disorders
Language:English