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Decreased left atrial global longitudinal strain predicts the risk of atrial fibrillation recurrence after cryoablation in paroxysmal atrial fibrillation

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Abstract

Purpose

We aimed to investigate the association of atrial fibrillation (AF) recurrence with left atrial (LA) strain in nonvalvular paroxysmal AF patients after cryoablation.

Methods

We included 190 patients who underwent successful cryoablation due to paroxysmal AF. In addition to classical echocardiographic data, LA apical 2-chamber (A2C) strain, LA apical 4-chamber (A4C) strain, and LA global longitudinal strain (LA-GLS) values were calculated by speckle tracking echocardiography. Forty-eight-hour Holter monitoring was performed to all patients no later than 6 months after ablation.

Results

AF recurrence was detected in 42 patients (22.1%). End-systolic diameter, LA end-systolic diameter, LA-volume, LA-volume index, interatrial septum thickness, coronary sinus diameter, epicardial fat thickness (EFT), and septal E/Eˋ ratio were significantly higher, LV-EF, IVRT, septal S and Aˋ wave, lateral S wave, LA-A2C strain, LA-A4C strain, and LA-GLS were significantly lower in patients with AF recurrence. LA-GLS, LA-volume index, and EFT were found to be independent parameters for predicting AF recurrence.

Conclusions

LA-GLS and LAVI should be included in routine evaluations to determine long-term AF recurrence preoperatively.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Cardiology, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey

    Hasan Koca, Abdullah Orhan Demirtas, Yahya Kemal Icen, Durmus Yıldıray Sahin, Fadime Koca, Emel Celiker Guler & Mevlut Koc

  2. Department of Cardiology, Faculty of Medicine, Mustafa Kemal University, Antakya, Hatay, Turkey

    Onur Kaypaklı

  3. Department of Emergency Medicine, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey

    Zikret Koseoglu

  4. Department of Cardiology, Ortadogu Adana Hospital, Adana, Turkey

    Ahmet Oytun Baykan

  5. Department of Internal Medicine, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey

    Derya Demirtas

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  1. Hasan Koca
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  2. Abdullah Orhan Demirtas
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Correspondence to Mevlut Koc.

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The study was approved by the institutional ethics committee and complied with the principles of the Declaration of Helsinki.

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Koca, H., Demirtas, A.O., Kaypaklı, O. et al. Decreased left atrial global longitudinal strain predicts the risk of atrial fibrillation recurrence after cryoablation in paroxysmal atrial fibrillation. J Interv Card Electrophysiol 58, 51–59 (2020). https://doi.org/10.1007/s10840-019-00573-4

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  • DOI: https://doi.org/10.1007/s10840-019-00573-4

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