Changes in electrocardiographic p wave parameters after cryoballoon ablation and their association with atrial fibrillation recurrence

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dc.authorid0000-0003-1919-3183
dc.authorid0000-0001-9975-5507
dc.authorid0000-0003-0230-6575
dc.authorid0000-0002-4607-5724
dc.authorid0000-0002-4281-0867
dc.authorid0000-0003-2995-8792
dc.contributor.authorKızılırmak, Filiz
dc.contributor.authorGünhan Demir, Gültekin
dc.contributor.authorGökdeniz, Tayyar
dc.contributor.authorGüneş, Hacı Murat
dc.contributor.authorÇakal, Beytullah
dc.contributor.authorGüler, Ekrem
dc.contributor.authorKaraca, İbrahim Oğuz
dc.contributor.authorOmaygenç, Mehmet Onur
dc.contributor.authorYılmaz, Fatih
dc.contributor.authorOlgun, Fatih Erkam
dc.contributor.authorKılıçaslan, Fethi
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:37Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:37Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractBackground: Changes in P wave parameters after circumferential pulmonary vein isolation (CPVI) have been previously identified. In this study, we aimed to determine the changes in P wave parameters surface electrocardiogram (ECG) after cryoballoon ablation (CBA) for atrial fibrillation (AF) and evaluate their relationship with AF recurrence. Methods: Sixty-one patients (mean age 53 ± 11 years, 50.8% male) with paroxysmal AF who underwent CBA were enrolled. A surface ECG was obtained from all patients immediately before the procedure, and repeated 12 hours after the procedure. P wave amplitude (Pamp), P wave duration (Pwd), and P wave dispersion (Pdis) values in preprocedural and postprocedural ECGs were measured and compared. Recurrence rates of AF in 3, 6, and 9 months following ablation were recorded for all patients. Changes in P wave parameters were compared between patients with and without AF recurrence. Results: Compared to preprocedural measurements, Pamp (from 0.58 ± 0.18 mV at baseline to 0.48 ± 0.17 mV, P < 0.001), Pwd (from 109.72 ± 18.43 ms at baseline to 91.36 ± 22.53 ms, P < 0.001), and Pdis (from 55.44 ± 20.45 ms at baseline to 45.30 ± 15.31 ms, P < 0.001) were significantly decreased after CBA. The difference in Pamp between pre- and postprocedural values (?Pamp) was significantly higher in patients without AF recurrence compared to those with recurrence (0.10 ± 0.06 mV vs 0.04 ± 0.01 mV, P = 0.002). There was no difference in Pwd difference (?Pwd) and Pdis difference (?Pdis) between patients with and without AF recurrence (P > 0.05). Conclusion: Pamp, Pwd, and Pdis parameters exhibited significant decrease after CBA compared to preprocedural measurements. Decreased Pamp was shown to be a predictor for good clinical outcomes following CBA.
dc.identifier.citationKızılırmak, F., Günhan Demir, G., Gökdeniz, T., Güneş, H. M., Çakal, B., Güler, E. ... Kılıçaslan, F. (2016). Changes in electrocardiographic p wave parameters after cryoballoon ablation and their association with atrial fibrillation recurrence. Annals of Noninvasive Electrocardiology, 21(6), 580-587. https://dx.doi.org/10.1111/anec.12364
dc.identifier.doi10.1111/anec.12364
dc.identifier.endpage587
dc.identifier.issn1082-720X
dc.identifier.issn1542-474X
dc.identifier.issue6
dc.identifier.scopusqualityQ2
dc.identifier.startpage580
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1441
dc.identifier.urihttps://dx.doi.org/10.1111/anec.12364
dc.identifier.volume21
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley-Blackwell
dc.relation.ispartofAnnals of Noninvasive Electrocardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAtrial Arrhythmias
dc.subjectAtrial Fibrillation
dc.subjectElectrocardiography
dc.subjectElectrophysiology
dc.subjectNoninvasive Techniques
dc.titleChanges in electrocardiographic p wave parameters after cryoballoon ablation and their association with atrial fibrillation recurrence
dc.typeArticle

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