Document Detail

Evaluation of atrial function after surgical ablation of atrial fibrillation: a Speckle tracking study.
MedLine Citation:
PMID:  23381376     Owner:  NLM     Status:  MEDLINE    
AIM: AIM of our study was to assess atrial function in patients who underwent atrial fibrillation (AF) surgical ablation by a novel echocardiographic technique (speckle tracking).
METHODS: From February 2006 to April 2008, in 11 consecutive pts with paroxysmal or persistent AF (6 males, mean age 69.6±9.7 years) undergoing cardiac surgery, concomitant AF surgical ablation was performed with bipolar radiofrequency clamp (Cobra_Bipolar® system). These pts, all in stable sinus rhythm (SR), were echoed after a mean follow-up of 14.6±9.3 months from surgery. Speckle tracking was used to estimate global LA strain, peak strain and the standard deviation of the time-to-peak (% of R-R' interval) of the deformation of 6 segments identified along the septum, the roof and the lateral wall of LA in a 4-chamber view.
RESULTS: These patients showed a mild LA enlargement (mean volume 43.4±11.6 mL/sqm). In 5 of them (45.4%) no A waves were detected on MPWD and pulmonary venous flow, but speckle tracking showed preserved atrial function with a mean global strain of 5.5 ± 3.3 %, a mean peak strain of 10.4 ± 5.7 % and a TP-SD of 15.1±8.7 ms.
CONCLUSION: Our study seems to show that surgical AF ablation has a lower impact on atrial function in comparison with data from literature about percutaneous catheter ablation. This is probably related to an higher sensitivity of this type of echocardiography evaluation, but this finding must be confirmed by other trials.
E Rondano; M Bortnik; E Occhetta; G Teodori; P P Caimmi; P Marino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva cardioangiologica     Volume:  61     ISSN:  0026-4725     ISO Abbreviation:  Minerva Cardioangiol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-05     Completed Date:  2013-07-08     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  0400725     Medline TA:  Minerva Cardioangiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  11-20     Citation Subset:  IM    
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MeSH Terms
Atrial Fibrillation / physiopathology*,  surgery*,  ultrasonography
Atrial Function*
Cardiac Surgical Procedures / methods
Catheter Ablation
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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