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Cardiovascular magnetic resonance demonstrates reversible atrial dysfunction after catheter ablation of persistent atrial fibrillation

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Cardiovascular magnetic resonance demonstrates reversible atrial dysfunction after catheter ablation of persistent atrial fibrillation. / Müllerleile, Kai; Groth, Michael; Steven, Daniel; Hoffmann, Boris A; Säring, Dennis; Radunski, Ulf K; Lund, Gunnar K; Adam, Gerhard; Rostock, Thomas; Willems, Stephan.

in: J CARDIOVASC ELECTR, Jahrgang 24, Nr. 7, 01.07.2013, S. 762-7.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Müllerleile, K, Groth, M, Steven, D, Hoffmann, BA, Säring, D, Radunski, UK, Lund, GK, Adam, G, Rostock, T & Willems, S 2013, 'Cardiovascular magnetic resonance demonstrates reversible atrial dysfunction after catheter ablation of persistent atrial fibrillation', J CARDIOVASC ELECTR, Jg. 24, Nr. 7, S. 762-7. https://doi.org/10.1111/jce.12125

APA

Müllerleile, K., Groth, M., Steven, D., Hoffmann, B. A., Säring, D., Radunski, U. K., Lund, G. K., Adam, G., Rostock, T., & Willems, S. (2013). Cardiovascular magnetic resonance demonstrates reversible atrial dysfunction after catheter ablation of persistent atrial fibrillation. J CARDIOVASC ELECTR, 24(7), 762-7. https://doi.org/10.1111/jce.12125

Vancouver

Müllerleile K, Groth M, Steven D, Hoffmann BA, Säring D, Radunski UK et al. Cardiovascular magnetic resonance demonstrates reversible atrial dysfunction after catheter ablation of persistent atrial fibrillation. J CARDIOVASC ELECTR. 2013 Jul 1;24(7):762-7. https://doi.org/10.1111/jce.12125

Bibtex

@article{e7810a35a52844af993b7a3d96d3501c,
title = "Cardiovascular magnetic resonance demonstrates reversible atrial dysfunction after catheter ablation of persistent atrial fibrillation",
abstract = "INTRODUCTION: There is a paucity of data on atrial injury following ablation of persistent atrial fibrillation (AF). This study aimed at assessing reversibility of atrial dysfunction after successful persistent AF ablation using cardiovascular magnetic resonance (CMR).METHODS AND RESULTS: CMR was performed during sinus rhythm (SR) in 20 consecutive patients with persistent AF at baseline (BL) within 24 hours after ablation and after 6-month follow-up (FU). Catheter ablation included atrial substrate modification using the stepwise approach following pulmonary vein isolation (PVI) in order to attempt termination of persistent AF. Active left (LA) and right atrial (RA) function were quantified by calculating the active emptying fraction (AEF) from transvalvular flow profiles using velocity encoded (VENC) CMR. LA appendage (LAA) function was quantified by measurements of peak a-wave velocities from flow profiles perpendicular to the LAA orifice. Peri-atrial edema was assessed using black-blood T2 -weighted CMR. A significant improvement was found in LA-AEF from 18 (12-26)% at BL to 25 (22-35)% at FU (P = 0.0001). Furthermore, RA-AEF significantly increased from 31 (19-35)% at BL to 40 (35-51)% at FU (P < 0.0001). A significant improvement was also found for LAA a-wave velocities from 45 (31-65) cm/s at BL to 62 (49-75) cm/s at FU (P < 0.01). The area of peri-atrial edema on T2 -weighted CMR decreased from 1393 (1098-1797) mm(2) at BL to 24 (1-92) mm(2) at FU (P < 0.0001).CONCLUSION: CMR demonstrates reversibility of LA, LAA, and RA dysfunction associated with resorption of peri-atrial edema in patients with SR after persistent AF ablation.",
keywords = "Aged, Atrial Fibrillation, Cardiac Imaging Techniques, Catheter Ablation, Female, Follow-Up Studies, Heart Atria, Humans, Magnetic Resonance Imaging, Male, Middle Aged",
author = "Kai M{\"u}llerleile and Michael Groth and Daniel Steven and Hoffmann, {Boris A} and Dennis S{\"a}ring and Radunski, {Ulf K} and Lund, {Gunnar K} and Gerhard Adam and Thomas Rostock and Stephan Willems",
note = "{\textcopyright} 2013 Wiley Periodicals, Inc.",
year = "2013",
month = jul,
day = "1",
doi = "10.1111/jce.12125",
language = "English",
volume = "24",
pages = "762--7",
journal = "J CARDIOVASC ELECTR",
issn = "1045-3873",
publisher = "Wiley-Blackwell",
number = "7",

}

RIS

TY - JOUR

T1 - Cardiovascular magnetic resonance demonstrates reversible atrial dysfunction after catheter ablation of persistent atrial fibrillation

AU - Müllerleile, Kai

AU - Groth, Michael

AU - Steven, Daniel

AU - Hoffmann, Boris A

AU - Säring, Dennis

AU - Radunski, Ulf K

AU - Lund, Gunnar K

AU - Adam, Gerhard

AU - Rostock, Thomas

AU - Willems, Stephan

N1 - © 2013 Wiley Periodicals, Inc.

PY - 2013/7/1

Y1 - 2013/7/1

N2 - INTRODUCTION: There is a paucity of data on atrial injury following ablation of persistent atrial fibrillation (AF). This study aimed at assessing reversibility of atrial dysfunction after successful persistent AF ablation using cardiovascular magnetic resonance (CMR).METHODS AND RESULTS: CMR was performed during sinus rhythm (SR) in 20 consecutive patients with persistent AF at baseline (BL) within 24 hours after ablation and after 6-month follow-up (FU). Catheter ablation included atrial substrate modification using the stepwise approach following pulmonary vein isolation (PVI) in order to attempt termination of persistent AF. Active left (LA) and right atrial (RA) function were quantified by calculating the active emptying fraction (AEF) from transvalvular flow profiles using velocity encoded (VENC) CMR. LA appendage (LAA) function was quantified by measurements of peak a-wave velocities from flow profiles perpendicular to the LAA orifice. Peri-atrial edema was assessed using black-blood T2 -weighted CMR. A significant improvement was found in LA-AEF from 18 (12-26)% at BL to 25 (22-35)% at FU (P = 0.0001). Furthermore, RA-AEF significantly increased from 31 (19-35)% at BL to 40 (35-51)% at FU (P < 0.0001). A significant improvement was also found for LAA a-wave velocities from 45 (31-65) cm/s at BL to 62 (49-75) cm/s at FU (P < 0.01). The area of peri-atrial edema on T2 -weighted CMR decreased from 1393 (1098-1797) mm(2) at BL to 24 (1-92) mm(2) at FU (P < 0.0001).CONCLUSION: CMR demonstrates reversibility of LA, LAA, and RA dysfunction associated with resorption of peri-atrial edema in patients with SR after persistent AF ablation.

AB - INTRODUCTION: There is a paucity of data on atrial injury following ablation of persistent atrial fibrillation (AF). This study aimed at assessing reversibility of atrial dysfunction after successful persistent AF ablation using cardiovascular magnetic resonance (CMR).METHODS AND RESULTS: CMR was performed during sinus rhythm (SR) in 20 consecutive patients with persistent AF at baseline (BL) within 24 hours after ablation and after 6-month follow-up (FU). Catheter ablation included atrial substrate modification using the stepwise approach following pulmonary vein isolation (PVI) in order to attempt termination of persistent AF. Active left (LA) and right atrial (RA) function were quantified by calculating the active emptying fraction (AEF) from transvalvular flow profiles using velocity encoded (VENC) CMR. LA appendage (LAA) function was quantified by measurements of peak a-wave velocities from flow profiles perpendicular to the LAA orifice. Peri-atrial edema was assessed using black-blood T2 -weighted CMR. A significant improvement was found in LA-AEF from 18 (12-26)% at BL to 25 (22-35)% at FU (P = 0.0001). Furthermore, RA-AEF significantly increased from 31 (19-35)% at BL to 40 (35-51)% at FU (P < 0.0001). A significant improvement was also found for LAA a-wave velocities from 45 (31-65) cm/s at BL to 62 (49-75) cm/s at FU (P < 0.01). The area of peri-atrial edema on T2 -weighted CMR decreased from 1393 (1098-1797) mm(2) at BL to 24 (1-92) mm(2) at FU (P < 0.0001).CONCLUSION: CMR demonstrates reversibility of LA, LAA, and RA dysfunction associated with resorption of peri-atrial edema in patients with SR after persistent AF ablation.

KW - Aged

KW - Atrial Fibrillation

KW - Cardiac Imaging Techniques

KW - Catheter Ablation

KW - Female

KW - Follow-Up Studies

KW - Heart Atria

KW - Humans

KW - Magnetic Resonance Imaging

KW - Male

KW - Middle Aged

U2 - 10.1111/jce.12125

DO - 10.1111/jce.12125

M3 - SCORING: Journal article

C2 - 23551416

VL - 24

SP - 762

EP - 767

JO - J CARDIOVASC ELECTR

JF - J CARDIOVASC ELECTR

SN - 1045-3873

IS - 7

ER -