Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon Ablation
Background: Several clinical trials have assessed predictors for atrial fibrillation recurrence following cryoballoon catheter ablation. With these predictors, a practical and new scoring system can be developed to evaluate atrial fibrillation recurrence. The present study aimed to analyze the predi...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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KARE Publishing
2023-09-01
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| Series: | Anatolian Journal of Cardiology |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-62923 |
| _version_ | 1797643189911289856 |
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| author | Gökay Taylan Murat Gök Alparslan Kurtul Abdulkadir Uslu Ayhan Küp Serdar Demir Kamil Gülşen Servet Altay Taylan Akgün Kenan Yalta |
| author_facet | Gökay Taylan Murat Gök Alparslan Kurtul Abdulkadir Uslu Ayhan Küp Serdar Demir Kamil Gülşen Servet Altay Taylan Akgün Kenan Yalta |
| author_sort | Gökay Taylan |
| collection | DOAJ |
| description | Background: Several clinical trials have assessed predictors for atrial fibrillation recurrence following cryoballoon catheter ablation. With these predictors, a practical and new scoring system can be developed to evaluate atrial fibrillation recurrence. The present study aimed to analyze the predictive value of the age, creatinine, and ejection fraction-left atrium score for potential recurrence of atrial fibrillation following cryoballoon catheter ablation in patients with symptomatic paroxysmal or persistent atrial fibrillation.
Methods: We retrospectively analyzed records of patients undergoing cryoballoon catheter ablation. atrial fibrillation recurrence was defined as an emerging atrial fibrillation episode around 12-month follow-up (with the exclusion of a 3-month blanking period). Univariate and multivariate analyses were performed to assess predictors of atrial fibrillation recurrence. In addition, receiver operating characteristic analysis was harnessed to evaluate the performance of the age, creatinine, and ejection fraction, left atrium score in determining the risk of atrial fibrillation recurrence.
Results: The study population comprised 106 subjects (age 52 +- 13 years, 63.2% women) with paroxysmal (84.9%, n = 90) or persistent (15.1%, n = 16) atrial fibrillation. age, creatinine, and ejection fraction, left atrium score was significantly higher in subjects with atrial fibrillation recurrence in comparison to those with the maintenance of sinus rhythm. However, on multivariate logistic regression analysis, only the age, creatinine, and ejection fraction, left atrium score (OR = 12.93, 95% CI: 2.22-75.21, P =.004) served as an independent predictor of atrial fibrillation recurrence following cryoballoon catheter ablation.
Conclusion: Age, creatinine, and ejection fraction, left atrium score had an independent association with the risk of atrial fibrillation recurrence in subjects with atrial fibrillation undergoing cryoballoon catheter ablation. Therefore, this score might potentially serve as a useful tool for risk stratification of patients with atrial fibrillation. |
| first_indexed | 2024-03-11T14:10:52Z |
| format | Article |
| id | doaj.art-0f7d783dec854516a65d8bfc44d373dc |
| institution | Directory Open Access Journal |
| issn | 2149-2271 |
| language | English |
| last_indexed | 2024-03-11T14:10:52Z |
| publishDate | 2023-09-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Anatolian Journal of Cardiology |
| spelling | doaj.art-0f7d783dec854516a65d8bfc44d373dc2023-11-01T19:45:17ZengKARE PublishingAnatolian Journal of Cardiology2149-22712023-09-01271056757210.14744/AnatolJCardiol.2023.2857AJC-62923Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon AblationGökay Taylan0Murat Gök1Alparslan Kurtul2Abdulkadir Uslu3Ayhan Küp4Serdar Demir5Kamil Gülşen6Servet Altay7Taylan Akgün8Kenan Yalta9Department of Cardiology, Faculty of Medicine, Trakya University, Edirne, TürkiyeDepartment of Cardiology, Faculty of Medicine, Trakya University, Edirne, TürkiyeDepartment of Cardiology, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, TürkiyeDepartment of Cardiology, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, TürkiyeDepartment of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, TürkiyeDepartment of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, TürkiyeDepartment of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, TürkiyeDepartment of Cardiology, Faculty of Medicine, Trakya University, Edirne, TürkiyeDepartment of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, TürkiyeDepartment of Cardiology, Faculty of Medicine, Trakya University, Edirne, TürkiyeBackground: Several clinical trials have assessed predictors for atrial fibrillation recurrence following cryoballoon catheter ablation. With these predictors, a practical and new scoring system can be developed to evaluate atrial fibrillation recurrence. The present study aimed to analyze the predictive value of the age, creatinine, and ejection fraction-left atrium score for potential recurrence of atrial fibrillation following cryoballoon catheter ablation in patients with symptomatic paroxysmal or persistent atrial fibrillation. Methods: We retrospectively analyzed records of patients undergoing cryoballoon catheter ablation. atrial fibrillation recurrence was defined as an emerging atrial fibrillation episode around 12-month follow-up (with the exclusion of a 3-month blanking period). Univariate and multivariate analyses were performed to assess predictors of atrial fibrillation recurrence. In addition, receiver operating characteristic analysis was harnessed to evaluate the performance of the age, creatinine, and ejection fraction, left atrium score in determining the risk of atrial fibrillation recurrence. Results: The study population comprised 106 subjects (age 52 +- 13 years, 63.2% women) with paroxysmal (84.9%, n = 90) or persistent (15.1%, n = 16) atrial fibrillation. age, creatinine, and ejection fraction, left atrium score was significantly higher in subjects with atrial fibrillation recurrence in comparison to those with the maintenance of sinus rhythm. However, on multivariate logistic regression analysis, only the age, creatinine, and ejection fraction, left atrium score (OR = 12.93, 95% CI: 2.22-75.21, P =.004) served as an independent predictor of atrial fibrillation recurrence following cryoballoon catheter ablation. Conclusion: Age, creatinine, and ejection fraction, left atrium score had an independent association with the risk of atrial fibrillation recurrence in subjects with atrial fibrillation undergoing cryoballoon catheter ablation. Therefore, this score might potentially serve as a useful tool for risk stratification of patients with atrial fibrillation.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-62923ageatrial fibrillationcreatininecryoballoon ablationejection fractionleft atriumrecurrence |
| spellingShingle | Gökay Taylan Murat Gök Alparslan Kurtul Abdulkadir Uslu Ayhan Küp Serdar Demir Kamil Gülşen Servet Altay Taylan Akgün Kenan Yalta Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon Ablation Anatolian Journal of Cardiology age atrial fibrillation creatinine cryoballoon ablation ejection fraction left atrium recurrence |
| title | Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon Ablation |
| title_full | Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon Ablation |
| title_fullStr | Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon Ablation |
| title_full_unstemmed | Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon Ablation |
| title_short | Integrating the Left Atrium Diameter to Improve the Predictive Ability of the Age, Creatinine, and Ejection Fraction Score for Atrial Fibrillation Recurrence After Cryoballoon Ablation |
| title_sort | integrating the left atrium diameter to improve the predictive ability of the age creatinine and ejection fraction score for atrial fibrillation recurrence after cryoballoon ablation |
| topic | age atrial fibrillation creatinine cryoballoon ablation ejection fraction left atrium recurrence |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-62923 |
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