Cargando…
Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation
This study introduces the pulmonary vein isolation outcome degree (PVIOD) as a new semiquantitative measure for the efficacy of atrial fibrillation (AF) catheter ablation and reports the determination of predictors associated with PVIOD. The median follow-up periods of 117 patients after the first a...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8708501/ https://www.ncbi.nlm.nih.gov/pubmed/34945124 http://dx.doi.org/10.3390/jcm10245827 |
_version_ | 1784622700775342080 |
---|---|
author | Jurcevic, Ruzica Angelkov, Lazar Tasic, Nebojsa Tomovic, Milosav Kojic, Dejan Otasevic, Petar Bojic, Milovan |
author_facet | Jurcevic, Ruzica Angelkov, Lazar Tasic, Nebojsa Tomovic, Milosav Kojic, Dejan Otasevic, Petar Bojic, Milovan |
author_sort | Jurcevic, Ruzica |
collection | PubMed |
description | This study introduces the pulmonary vein isolation outcome degree (PVIOD) as a new semiquantitative measure for the efficacy of atrial fibrillation (AF) catheter ablation and reports the determination of predictors associated with PVIOD. The median follow-up periods of 117 patients after the first and last ablation were, respectively, 82 (IQR 15) and 72 (IQR 30) months. PVIOD 1 included 32.5% of patients, those with successful single pulmonary vein isolation (PVI); PVIOD 2 included 29.1% of subjects, those with success after multiple procedures; PVIOD 3 comprised 14.5% of patients, those with clinical success; and PVIOD 4 included 23.9% of cases, those with procedural and clinical failure. In the multivariate ordinal logistic regression analysis, PVIOD 1–4 were independently associated with longstanding persistent AF with paroxysmal AF as the referent category (odds ratio (OR), 3.5; 95% confidence interval (95% CI), 1.1–10.7 (p = 0.031)), left atrial (LA) diameter (OR, 1.2; 95% CI, 1.1–1.3 (p = 0.001)) and left ventricular ejection fraction (LVEF) (OR, 0.9; 95% CI, 0.86–1.0 (p = 0.038)). LA size > 41 mm, LVEF ≤ 50% and longstanding persistent AF are strong predictors of AF recurrence. PVIOD 1–4 offer the most exact long-term prognosis of PVI. The purpose of the present article is to expand the quantitative measure of procedural success in the medical and biological fields. |
format | Online Article Text |
id | pubmed-8708501 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87085012021-12-25 Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation Jurcevic, Ruzica Angelkov, Lazar Tasic, Nebojsa Tomovic, Milosav Kojic, Dejan Otasevic, Petar Bojic, Milovan J Clin Med Article This study introduces the pulmonary vein isolation outcome degree (PVIOD) as a new semiquantitative measure for the efficacy of atrial fibrillation (AF) catheter ablation and reports the determination of predictors associated with PVIOD. The median follow-up periods of 117 patients after the first and last ablation were, respectively, 82 (IQR 15) and 72 (IQR 30) months. PVIOD 1 included 32.5% of patients, those with successful single pulmonary vein isolation (PVI); PVIOD 2 included 29.1% of subjects, those with success after multiple procedures; PVIOD 3 comprised 14.5% of patients, those with clinical success; and PVIOD 4 included 23.9% of cases, those with procedural and clinical failure. In the multivariate ordinal logistic regression analysis, PVIOD 1–4 were independently associated with longstanding persistent AF with paroxysmal AF as the referent category (odds ratio (OR), 3.5; 95% confidence interval (95% CI), 1.1–10.7 (p = 0.031)), left atrial (LA) diameter (OR, 1.2; 95% CI, 1.1–1.3 (p = 0.001)) and left ventricular ejection fraction (LVEF) (OR, 0.9; 95% CI, 0.86–1.0 (p = 0.038)). LA size > 41 mm, LVEF ≤ 50% and longstanding persistent AF are strong predictors of AF recurrence. PVIOD 1–4 offer the most exact long-term prognosis of PVI. The purpose of the present article is to expand the quantitative measure of procedural success in the medical and biological fields. MDPI 2021-12-13 /pmc/articles/PMC8708501/ /pubmed/34945124 http://dx.doi.org/10.3390/jcm10245827 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Jurcevic, Ruzica Angelkov, Lazar Tasic, Nebojsa Tomovic, Milosav Kojic, Dejan Otasevic, Petar Bojic, Milovan Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation |
title | Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation |
title_full | Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation |
title_fullStr | Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation |
title_full_unstemmed | Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation |
title_short | Pulmonary Vein Isolation Outcome Degree Is a New Score for Efficacy of Atrial Fibrillation Catheter Ablation |
title_sort | pulmonary vein isolation outcome degree is a new score for efficacy of atrial fibrillation catheter ablation |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8708501/ https://www.ncbi.nlm.nih.gov/pubmed/34945124 http://dx.doi.org/10.3390/jcm10245827 |
work_keys_str_mv | AT jurcevicruzica pulmonaryveinisolationoutcomedegreeisanewscoreforefficacyofatrialfibrillationcatheterablation AT angelkovlazar pulmonaryveinisolationoutcomedegreeisanewscoreforefficacyofatrialfibrillationcatheterablation AT tasicnebojsa pulmonaryveinisolationoutcomedegreeisanewscoreforefficacyofatrialfibrillationcatheterablation AT tomovicmilosav pulmonaryveinisolationoutcomedegreeisanewscoreforefficacyofatrialfibrillationcatheterablation AT kojicdejan pulmonaryveinisolationoutcomedegreeisanewscoreforefficacyofatrialfibrillationcatheterablation AT otasevicpetar pulmonaryveinisolationoutcomedegreeisanewscoreforefficacyofatrialfibrillationcatheterablation AT bojicmilovan pulmonaryveinisolationoutcomedegreeisanewscoreforefficacyofatrialfibrillationcatheterablation |