Denervation as a Common Mechanism Underlying Different Pulmonary Vein Isolation Strategies for Paroxysmal Atrial Fibrillation: Evidenced by Heart Rate Variability after Ablation
المؤلفون المشاركون
Yang, Y.
Wang, Kejing
Chang, Dong
Chu, Zhenliang
Gao, Lianjun
Zhang, Shulong
Xia, Yunlong
Dong, Yingxue
Yin, Xiaomeng
Cong, Peixin
Jia, Jingjing
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-08-24
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الطب البشري
تكنولوجيا المعلومات وعلم الحاسوب
الملخص EN
Backgrounds.
Segmental and circumferential pulmonary vein isolations (SPVI and CPVI) have been demonstrated to be effective therapies for paroxysmal atrial fibrillation (PAF).
PVI is well established as the endpoint of different ablation techniques, whereas it may not completely account for the long-term success.
Methods.
181 drug-refractory symptomatic PAF patients were referred for segmental or circumferential PVI (SPVI = 67; CPVI = 114).
Heart rate variability (HRV) was assessed before and after the final ablation.
Results.
After following up for 62.23±12.75 months, patients underwent 1.41±0.68 procedures in average, and the success rates in SPVI and CPVI groups were comparable.
119 patients were free from AF recurrence (SPVI-S, n=43; CPVI-S, n=76).
56 patients had recurrent episodes (SPVI-R, n=21; CPVI-R, n=35).
Either ablation technique decreased HRV significantly.
Postablation SDNN and rMSSD were significantly lower in SPVI-S and CPVI-S subgroups than in SPVI-R and CPVI-R subgroups (SPVI-S versus SPVI-R: SDNN 91.8±32.6 versus 111.5±36.2 ms, rMSSD 47.4±32.3 versus 55.2±35.2 ms; CPVI-S versus CPVI-R: SDNN 83.0±35.6 versus 101.0±40.7 ms, rMSSD 41.1±22.9 versus 59.2±44.8 ms; all P<0.05).
Attenuation of SDNN and rMSSD remained for 12 months in SPVI-S and CPVI-S subgroups, whereas it recovered earlier in SPVI-R and CPVI-R subgroups.
Multivariate logistic regression analysis identified SDNN as the only predictor of long-term success.
Conclusions.
Beyond PVI, denervation may be a common mechanism underlying different ablation strategies for PAF.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wang, Kejing& Chang, Dong& Chu, Zhenliang& Yang, Y.& Gao, Lianjun& Zhang, Shulong…[et al.]. 2013. Denervation as a Common Mechanism Underlying Different Pulmonary Vein Isolation Strategies for Paroxysmal Atrial Fibrillation: Evidenced by Heart Rate Variability after Ablation. The Scientific World Journal،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1033063
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wang, Kejing…[et al.]. Denervation as a Common Mechanism Underlying Different Pulmonary Vein Isolation Strategies for Paroxysmal Atrial Fibrillation: Evidenced by Heart Rate Variability after Ablation. The Scientific World Journal No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-1033063
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wang, Kejing& Chang, Dong& Chu, Zhenliang& Yang, Y.& Gao, Lianjun& Zhang, Shulong…[et al.]. Denervation as a Common Mechanism Underlying Different Pulmonary Vein Isolation Strategies for Paroxysmal Atrial Fibrillation: Evidenced by Heart Rate Variability after Ablation. The Scientific World Journal. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1033063
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1033063
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر