Clinical value of assessment of left atrial late gadolinium enhancement in patients undergoing ablation of atrial fibrillation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F15%3A00059213" target="_blank" >RIV/00023001:_____/15:00059213 - isvavai.cz</a>

Alternative codes found

RIV/00023884:_____/15:#0007171

Result on the web

<a href="http://www.sciencedirect.com/science/article/pii/S0167527314022141#" target="_blank" >http://www.sciencedirect.com/science/article/pii/S0167527314022141#</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ijcard.2014.11.072" target="_blank" >10.1016/j.ijcard.2014.11.072</a>

Result language

angličtina

Original language name

Clinical value of assessment of left atrial late gadolinium enhancement in patients undergoing ablation of atrial fibrillation

Original language description

Background: Left atrial (LA) fibrosis begets atrial fibrillation (AF). Cardiovascular magnetic resonance (CMR) using the late gadolinium enhancement (LGE) technique might visualize the LA fibrosis and thus help to choose an appropriate strategy for treatment of AF. In this regard, we investigated whether the extent of preablation LA LGE would predict AF recurrence after ablation in a non-selected patient population. Methods: CMR was performed in 95 patients before radiofrequency ablation of AF. An interpretable scan was available in 73 patients (age, 59 +/- 8 years; men, 71%; persistent/paroxysmal AF, 55/45%). The extent of LA LGE was quantified by three established thresholding techniques. In addition, CMR was used to quantify LA volume and reservoir function. The patients were followed for AF recurrence for 1.3 +/- 0.8 years. Results: The arrhythmia recurred in 29 (40%) of the patients. The extent of LA LGE did not differ between paroxysmal and persistent AF and it did not predict the AF recurrence. Moreover, the extent of LA LGE did not correlate with LA volume, reservoir function and bipolar voltage. Conclusions: Our data indicate a limited value of a routine assessment of LA LGE before ablation of AF. Further experimental and clinical researches should be done before applying the method to a wide clinical practice. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FA - Cardiovascular diseases including cardio-surgery

OECD FORD branch

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Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2015

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International journal of cardiology

ISSN

0167-5273

e-ISSN

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Volume of the periodical

179

Issue of the periodical within the volume

Januar 20

Country of publishing house

IE - IRELAND

Number of pages

7

Pages from-to

351-357

UT code for WoS article

000346089400097

EID of the result in the Scopus database

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