Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation
Atrial fibrillation is associated with systemic embolization and complications due to anticoagulant therapy. Radiofrequency ablation has been established as an effective and safe method for the treatment of atrial fibrillation. The aim of this study was to evaluate the effect of the size of the left...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2017-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/288256 |
| _version_ | 1797207676044705792 |
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| author | Harun Avdagić Selma Sijerčić Avdagić Melika Pirić Avdagić Miha Antonič |
| author_facet | Harun Avdagić Selma Sijerčić Avdagić Melika Pirić Avdagić Miha Antonič |
| author_sort | Harun Avdagić |
| collection | DOAJ |
| description | Atrial fibrillation is associated with systemic embolization and complications due to anticoagulant therapy. Radiofrequency ablation has been established as an effective and safe method for the treatment of atrial fibrillation. The aim of this study was to evaluate the effect of the size of the left atrium on the outcome of surgical radiofrequency ablation. Forty patients scheduled for elective mitral valve surgery and radiofrequency ablation were enrolled in the study. Group 1 consisted of patients with a left atrium diameter ≤5 cm and group 2 of patients with left atrium diameter >5 cm. The primary endpoint of the study was stable sinus rhythm 6 months postoperatively. At 6 months postoperatively, sinus rhythm was present in significantly more group 1 patients as compared with group 2 patients, i.e. 15 (75%) vs. 8 (40%), p=0.025. Multivariate analysis proved the size of the left atrium to be an independent predictor of the radiofrequency ablation outcome. Accordingly, the size of the left atrium was demonstrated to be an important predictor of the outcome of radiofrequency ablation for atrial fibrillation. A lower cut-off value of surgical reduction of the atria than previously reported should be considered in order to improve the radiofrequency ablation outcome. |
| first_indexed | 2024-04-24T09:26:41Z |
| format | Article |
| id | doaj.art-5e24e627bb924ca983a98653c08d4f5c |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:26:41Z |
| publishDate | 2017-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-5e24e627bb924ca983a98653c08d4f5c2024-04-15T14:40:17ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512017-01-0156.4.79580210.20471/acc.2017.56.04.30Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial FibrillationHarun Avdagić0Selma Sijerčić Avdagić1Melika Pirić Avdagić2Miha Antonič3Department of Cardiovascular Diseases, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Anesthesiology and Resuscitation, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Internal Medicine, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Cardiac Surgery, Maribor University Medical Centre, Maribor, SloveniaAtrial fibrillation is associated with systemic embolization and complications due to anticoagulant therapy. Radiofrequency ablation has been established as an effective and safe method for the treatment of atrial fibrillation. The aim of this study was to evaluate the effect of the size of the left atrium on the outcome of surgical radiofrequency ablation. Forty patients scheduled for elective mitral valve surgery and radiofrequency ablation were enrolled in the study. Group 1 consisted of patients with a left atrium diameter ≤5 cm and group 2 of patients with left atrium diameter >5 cm. The primary endpoint of the study was stable sinus rhythm 6 months postoperatively. At 6 months postoperatively, sinus rhythm was present in significantly more group 1 patients as compared with group 2 patients, i.e. 15 (75%) vs. 8 (40%), p=0.025. Multivariate analysis proved the size of the left atrium to be an independent predictor of the radiofrequency ablation outcome. Accordingly, the size of the left atrium was demonstrated to be an important predictor of the outcome of radiofrequency ablation for atrial fibrillation. A lower cut-off value of surgical reduction of the atria than previously reported should be considered in order to improve the radiofrequency ablation outcome.https://hrcak.srce.hr/file/288256Atrial fibrillationAnticoagulantsCatheter ablationHeart atriaCardiac surgical proceduresMultivariate analysis |
| spellingShingle | Harun Avdagić Selma Sijerčić Avdagić Melika Pirić Avdagić Miha Antonič Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation Acta Clinica Croatica Atrial fibrillation Anticoagulants Catheter ablation Heart atria Cardiac surgical procedures Multivariate analysis |
| title | Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation |
| title_full | Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation |
| title_fullStr | Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation |
| title_full_unstemmed | Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation |
| title_short | Effect of the Size of the Left Atriumo Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation |
| title_sort | effect of the size of the left atriumo sustained sinus rhythm in patients undergoing mitral valve surgery and concomitant bipolar radiofrequency ablation for atrial fibrillation |
| topic | Atrial fibrillation Anticoagulants Catheter ablation Heart atria Cardiac surgical procedures Multivariate analysis |
| url | https://hrcak.srce.hr/file/288256 |
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