dc.contributor.author | Kızılırmak, Filiz | |
dc.contributor.author | Günhan Demir, Gültekin | |
dc.contributor.author | Gökdeniz, Tayyar | |
dc.contributor.author | Güneş, Hacı Murat | |
dc.contributor.author | Çakal, Beytullah | |
dc.contributor.author | Güler, Ekrem | |
dc.contributor.author | Karaca, İbrahim Oğuz | |
dc.contributor.author | Omaygenç, Mehmet Onur | |
dc.contributor.author | Yılmaz, Fatih | |
dc.contributor.author | Olgun, Fatih Erkam | |
dc.contributor.author | Kılıçaslan, Fethi | |
dc.date.accessioned | 10.07.201910:49:13 | |
dc.date.accessioned | 2019-07-10T19:37:37Z | |
dc.date.available | 10.07.201910:49:14 | |
dc.date.available | 2019-07-10T19:37:37Z | |
dc.date.issued | 2016 | en_US |
dc.identifier.citation | Kızılırmak, 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 | en_US |
dc.identifier.issn | 1082-720X | |
dc.identifier.issn | 1542-474X | en_US |
dc.identifier.uri | https://hdl.handle.net/20.500.12511/1441 | |
dc.identifier.uri | https://dx.doi.org/10.1111/anec.12364 | |
dc.description.abstract | Background: 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. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wiley-Blackwell | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Atrial Arrhythmias | en_US |
dc.subject | Atrial Fibrillation | en_US |
dc.subject | Electrocardiography | en_US |
dc.subject | Electrophysiology | en_US |
dc.subject | Noninvasive Techniques | en_US |
dc.title | Changes in electrocardiographic p wave parameters after cryoballoon ablation and their association with atrial fibrillation recurrence | en_US |
dc.type | article | en_US |
dc.relation.ispartof | Annals of Noninvasive Electrocardiology | en_US |
dc.department | İstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı | en_US |
dc.authorid | 0000-0003-1919-3183 | en_US |
dc.authorid | 0000-0001-9975-5507 | en_US |
dc.authorid | 0000-0003-0230-6575 | en_US |
dc.authorid | 0000-0002-4607-5724 | en_US |
dc.authorid | 0000-0002-4281-0867 | en_US |
dc.authorid | 0000-0003-2995-8792 | en_US |
dc.identifier.volume | 21 | en_US |
dc.identifier.issue | 6 | en_US |
dc.identifier.startpage | 580 | en_US |
dc.identifier.endpage | 587 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.doi | 10.1111/anec.12364 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.identifier.scopusquality | Q2 | en_US |