Impact of aortic stiffness on the frequency of paroxysmal atrial fibrillation recurrences

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dc.authorid0000-0003-1919-3183
dc.authorid0000-0002-4607-5724
dc.authorid0000-0001-5825-8627
dc.authorid0000-0001-9975-5507
dc.authorid0000-0003-2995-8792
dc.authorid0000-0003-0230-6575
dc.contributor.authorKızılırmak, Filiz
dc.contributor.authorBabür Güler, Gamze
dc.contributor.authorGüler, Ekrem
dc.contributor.authorGüneş, Hacı Murat
dc.contributor.authorDemir, Gültekin Günhan
dc.contributor.authorOmaygenç, Mehmet Onur
dc.contributor.authorÇakal, Beytullah
dc.contributor.authorOlgun, Fatih Erkam
dc.contributor.authorKöklü, Erkan
dc.contributor.authorKılıçaslan, Fethi
dc.date.accessioned2020-06-29T15:04:59Z
dc.date.available2020-06-29T15:04:59Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractBackground The relationship between arterial stiff ness (AS) and atrial fi brillation (AF) incidence is well-known. In this study we aimed to investigate the relationship between AS parameters and AF occurence as well as AF recurrence post catheter ablation (CA) in patients with paroxysmal AF (PAF). Methods We enrolled 103 patients with PAF diagnosis and 103 control subjects with similar demographic characteristics. We measured AS parameters and central aortic pressure (CAP) parameters by an oscillometric device in both groups. In the patient group 51 patients underwent CA for AF and recurrence rates at 3 and 6 months postprocedurally were recorded. AS parameters were compared between patients with and without AF recurrence. Results In the PAF patient group central systolic pressure, central diastolic pressure, central pulse pressure, augmentation pressure, augmentation index, and pulse wave velocity were signifi cantly higher than in the control group (for each listed parameter P < 0.05). AS parameters were not associated with AF recurrence post CA. Left atrial size (LAS) was found as an independent predictor for recurrence in multivariate analysis (?: 2.30; P = 0.02; OR: 9.97; 95% CI [1.28-77.48]). Conclusion Increased AS is associated with PAF occurence. Nevertheless, LAS, a traditional risk factor, was the most powerful predictor for recurrence post CA; whereas AS or CAP were not associated with recurrence.
dc.identifier.citationKızılırmak, F., Babür Güler, G., Güler, E., Güneş, H. M., Demir, G. G., Omaygenç, M. O. (2015). Impact of aortic stiffness on the frequency of paroxysmal atrial fibrillation recurrences. Acta Cardiologica, 70(4), 414-421. https://dx.doi.org/10.1080/AC.70.4.3094650
dc.identifier.doi10.1080/AC.70.4.3094650
dc.identifier.endpage421
dc.identifier.issn0001-5385
dc.identifier.issn1784-973X
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage414
dc.identifier.urihttps://dx.doi.org/10.1080/AC.70.4.3094650
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5336
dc.identifier.volume70
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis
dc.relation.ispartofActa Cardiologicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectArterial Stiff Ness
dc.subjectAtrial Fi Brillation
dc.subjectCatheter Ablation
dc.titleImpact of aortic stiffness on the frequency of paroxysmal atrial fibrillation recurrences
dc.typeArticle

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