Circulating Galectin-3 and Atrial Fibrillation Recurrence after Catheter Ablation: A Meta-Analysis
Joint Authors
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-02
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Galectin-3 (Gal-3) is involved in fibrosis and heart failure.
However, epidemiological studies evaluating the association between Gal-3 and atrial fibrillation (AF) recurrence after catheter ablation showed inconsistent results.
We conducted a meta-analysis to comprehensively evaluate the relationship between baseline circulating Gal-3 levels and AF recurrence in patients undergoing catheter ablation.
Methods.
Relevant studies were identified by systematically searching the PubMed and Embase databases.
A random-effect model was used to synthesize the results.
Sensitivity analyses, performed by omitting one study at a time, were used to evaluate the robustness of the results.
Results.
Seven prospective cohort studies including 645 AF patients were included.
Within a follow-up duration of up to 18 months, 244 patients developed AF recurrence.
Pooled results showed that baseline circulating Gal-3 levels were significantly higher in patients with AF recurrence compared to those without (standardized mean difference: 0.74; 95% confidence interval (CI): 0.21 - 1.27; p = 0.007; I2 = 89%).
Moreover, higher baseline Gal-3 levels were independently associated with a significantly higher risk of AF recurrence after catheter ablation (risk ratio: 1.17 per unit of Gal-3; 95% CI: 1.01 - 1.35; p = 0.03; I2 = 40%), which was independent of age, gender, and left atrial dimension.
Sensitivity analyses did not significantly affect the results.
However, there was a significant publication bias for predicting efficacy of associating preprocedural Gal-3 levels with AF recurrence.
Conclusions.
Higher preprocedural Gal-3 levels may be associated with increased risk of AF recurrence in patients undergoing catheter ablation.
American Psychological Association (APA)
Zhang, Guangping& Wu, Yongquan. 2019. Circulating Galectin-3 and Atrial Fibrillation Recurrence after Catheter Ablation: A Meta-Analysis. Cardiovascular Therapeutics،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1129165
Modern Language Association (MLA)
Zhang, Guangping& Wu, Yongquan. Circulating Galectin-3 and Atrial Fibrillation Recurrence after Catheter Ablation: A Meta-Analysis. Cardiovascular Therapeutics No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1129165
American Medical Association (AMA)
Zhang, Guangping& Wu, Yongquan. Circulating Galectin-3 and Atrial Fibrillation Recurrence after Catheter Ablation: A Meta-Analysis. Cardiovascular Therapeutics. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1129165
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129165