Correlation of the peak oxygen consumption and ventilatory aerobic threshold by cardiopulmonary exercise testing with atrial fibrillation recurrences after ablation in patients with paroxysmal atrial fibrillation

Background The cardiopulmonary function is hypothesized to be associated with atrial fibrillation/atrial tachyarrhythmia (AF/AT) recurrence after AF ablation. Purpose To clarify the relationship between the cardiopulmonary function after successful ablation and AF/AT recurrence. Methods We examined...

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Published in:Journal of arrhythmia 2020-06, Vol.36 (3), p.456-463
Main Authors: Yamashita, Daiki, Kamikawa, Shigeshi, Tanaka, Ryou, Tabita, Natsumi, Nishimura, Saori, Mitsuoka, Miyuki, Higashiya, Shunich, Yamaji, Hirosuke, Murakami, Takashi, Hina, Kazuyoshi, Kusachi, Shozo
Format: Article
Language:English
Subjects:
Ablation
Ablation (Surgery)
Anaerobic threshold
Atrial fibrillation
Cardiac arrhythmia
cardiopulmonary function
Care and treatment
Catheters
Diseases
Electrocardiography
Exercise
Heart
irrigated catheter
Laboratories
Original
outcome
Patients
percutaneous catheter treatment
Physical fitness
radiofrequency energy
Relapse
reoccurrence
supraventricular tachyarrhythmia
Tachycardia
Value-added tax
Ventilation
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creator Yamashita, Daiki
Kamikawa, Shigeshi
Tanaka, Ryou
Tabita, Natsumi
Nishimura, Saori
Mitsuoka, Miyuki
Higashiya, Shunich
Yamaji, Hirosuke
Murakami, Takashi
Hina, Kazuyoshi
Kusachi, Shozo
description Background The cardiopulmonary function is hypothesized to be associated with atrial fibrillation/atrial tachyarrhythmia (AF/AT) recurrence after AF ablation. Purpose To clarify the relationship between the cardiopulmonary function after successful ablation and AF/AT recurrence. Methods We examined 31 patients with paroxysmal AF who underwent AF ablation. Cardiopulmonary exercise testing (CPET) was performed at 1month after the ablation. A continuously increasing loading method on a bicycle ergometer was employed for the CPET. Results No adverse events, including AF/AT recurrence, occurred during the CPET. Among 31 patients, AT/AF recurrence was observed in seven (23%). The ventilatory anaerobic threshold (VAT) and peak oxygen consumption (VO2) were significantly higher in patients without AF/AT recurrence than in those with AT/AF recurrences (peak VO2 23.6 ± 5.7 vs 17.2 ± 4.1 mL/kg/min; VAT, 16.7 ± 2.8 vs 13.8 ± 2.7 mL/min/kg). The areas under the receiver operating characteristic curve for the peak VO2 and VAT were 0.786 (P 
doi_str_mv 10.1002/joa3.12350
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Purpose To clarify the relationship between the cardiopulmonary function after successful ablation and AF/AT recurrence. Methods We examined 31 patients with paroxysmal AF who underwent AF ablation. Cardiopulmonary exercise testing (CPET) was performed at 1month after the ablation. A continuously increasing loading method on a bicycle ergometer was employed for the CPET. Results No adverse events, including AF/AT recurrence, occurred during the CPET. Among 31 patients, AT/AF recurrence was observed in seven (23%). The ventilatory anaerobic threshold (VAT) and peak oxygen consumption (VO2) were significantly higher in patients without AF/AT recurrence than in those with AT/AF recurrences (peak VO2 23.6 ± 5.7 vs 17.2 ± 4.1 mL/kg/min; VAT, 16.7 ± 2.8 vs 13.8 ± 2.7 mL/min/kg). The areas under the receiver operating characteristic curve for the peak VO2 and VAT were 0.786 (P &lt; .01) and 0.789(P &lt; .01), respectively. Both indices had a sensitivity of 70%–80% and specificity of 70%–80% for predicting AT/AF recurrence. Similar results were obtained for the percent values of the predicted peak VO2 and VAT. Conclusions The present pilot study found that CPET can be performed safely at approximately 1 month after AF ablation. The peak VO2 and VAT were significantly associated with AT/AF recurrence. The peak VO2 and VAT were thought to provide helpful information regarding AT/AF recurrence.</description><identifier>ISSN: 1880-4276</identifier><identifier>EISSN: 1883-2148</identifier><identifier>DOI: 10.1002/joa3.12350</identifier><identifier>PMID: 32528572</identifier><language>eng</language><publisher>Japan: John Wiley &amp; Sons, Inc</publisher><subject>Ablation ; Ablation (Surgery) ; Anaerobic threshold ; Atrial fibrillation ; Cardiac arrhythmia ; cardiopulmonary function ; Care and treatment ; Catheters ; Diseases ; Electrocardiography ; Exercise ; Heart ; irrigated catheter ; Laboratories ; Original ; outcome ; Patients ; percutaneous catheter treatment ; Physical fitness ; radiofrequency energy ; Relapse ; reoccurrence ; supraventricular tachyarrhythmia ; Tachycardia ; Value-added tax ; Ventilation</subject><ispartof>Journal of arrhythmia, 2020-06, Vol.36 (3), p.456-463</ispartof><rights>2020 The Authors. published by John Wiley &amp; Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.</rights><rights>2020 The Authors. Journal of Arrhythmia published by John Wiley &amp; Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.</rights><rights>COPYRIGHT 2020 John Wiley &amp; Sons, Inc.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6050-7af16248f10b3b3aba441f89f82f45fb564430fe1af6df80b4b8f29ddd9ddbc63</citedby><cites>FETCH-LOGICAL-c6050-7af16248f10b3b3aba441f89f82f45fb564430fe1af6df80b4b8f29ddd9ddbc63</cites><orcidid>0000-0002-4801-0246</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2410526109/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2410526109?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11541,25731,27901,27902,36989,36990,44566,46027,46451,53766,53768,74869</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32528572$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamashita, Daiki</creatorcontrib><creatorcontrib>Kamikawa, Shigeshi</creatorcontrib><creatorcontrib>Tanaka, Ryou</creatorcontrib><creatorcontrib>Tabita, Natsumi</creatorcontrib><creatorcontrib>Nishimura, Saori</creatorcontrib><creatorcontrib>Mitsuoka, Miyuki</creatorcontrib><creatorcontrib>Higashiya, Shunich</creatorcontrib><creatorcontrib>Yamaji, Hirosuke</creatorcontrib><creatorcontrib>Murakami, Takashi</creatorcontrib><creatorcontrib>Hina, Kazuyoshi</creatorcontrib><creatorcontrib>Kusachi, Shozo</creatorcontrib><title>Correlation of the peak oxygen consumption and ventilatory aerobic threshold by cardiopulmonary exercise testing with atrial fibrillation recurrences after ablation in patients with paroxysmal atrial fibrillation</title><title>Journal of arrhythmia</title><addtitle>J Arrhythm</addtitle><description>Background The cardiopulmonary function is hypothesized to be associated with atrial fibrillation/atrial tachyarrhythmia (AF/AT) recurrence after AF ablation. Purpose To clarify the relationship between the cardiopulmonary function after successful ablation and AF/AT recurrence. Methods We examined 31 patients with paroxysmal AF who underwent AF ablation. Cardiopulmonary exercise testing (CPET) was performed at 1month after the ablation. A continuously increasing loading method on a bicycle ergometer was employed for the CPET. Results No adverse events, including AF/AT recurrence, occurred during the CPET. Among 31 patients, AT/AF recurrence was observed in seven (23%). The ventilatory anaerobic threshold (VAT) and peak oxygen consumption (VO2) were significantly higher in patients without AF/AT recurrence than in those with AT/AF recurrences (peak VO2 23.6 ± 5.7 vs 17.2 ± 4.1 mL/kg/min; VAT, 16.7 ± 2.8 vs 13.8 ± 2.7 mL/min/kg). The areas under the receiver operating characteristic curve for the peak VO2 and VAT were 0.786 (P &lt; .01) and 0.789(P &lt; .01), respectively. Both indices had a sensitivity of 70%–80% and specificity of 70%–80% for predicting AT/AF recurrence. Similar results were obtained for the percent values of the predicted peak VO2 and VAT. Conclusions The present pilot study found that CPET can be performed safely at approximately 1 month after AF ablation. The peak VO2 and VAT were significantly associated with AT/AF recurrence. 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Tanaka, Ryou ; Tabita, Natsumi ; Nishimura, Saori ; Mitsuoka, Miyuki ; Higashiya, Shunich ; Yamaji, Hirosuke ; Murakami, Takashi ; Hina, Kazuyoshi ; Kusachi, Shozo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6050-7af16248f10b3b3aba441f89f82f45fb564430fe1af6df80b4b8f29ddd9ddbc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Ablation</topic><topic>Ablation (Surgery)</topic><topic>Anaerobic threshold</topic><topic>Atrial fibrillation</topic><topic>Cardiac arrhythmia</topic><topic>cardiopulmonary function</topic><topic>Care and treatment</topic><topic>Catheters</topic><topic>Diseases</topic><topic>Electrocardiography</topic><topic>Exercise</topic><topic>Heart</topic><topic>irrigated catheter</topic><topic>Laboratories</topic><topic>Original</topic><topic>outcome</topic><topic>Patients</topic><topic>percutaneous catheter treatment</topic><topic>Physical fitness</topic><topic>radiofrequency energy</topic><topic>Relapse</topic><topic>reoccurrence</topic><topic>supraventricular tachyarrhythmia</topic><topic>Tachycardia</topic><topic>Value-added tax</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamashita, Daiki</creatorcontrib><creatorcontrib>Kamikawa, Shigeshi</creatorcontrib><creatorcontrib>Tanaka, Ryou</creatorcontrib><creatorcontrib>Tabita, Natsumi</creatorcontrib><creatorcontrib>Nishimura, Saori</creatorcontrib><creatorcontrib>Mitsuoka, Miyuki</creatorcontrib><creatorcontrib>Higashiya, Shunich</creatorcontrib><creatorcontrib>Yamaji, Hirosuke</creatorcontrib><creatorcontrib>Murakami, Takashi</creatorcontrib><creatorcontrib>Hina, Kazuyoshi</creatorcontrib><creatorcontrib>Kusachi, Shozo</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Purpose To clarify the relationship between the cardiopulmonary function after successful ablation and AF/AT recurrence. Methods We examined 31 patients with paroxysmal AF who underwent AF ablation. Cardiopulmonary exercise testing (CPET) was performed at 1month after the ablation. A continuously increasing loading method on a bicycle ergometer was employed for the CPET. Results No adverse events, including AF/AT recurrence, occurred during the CPET. Among 31 patients, AT/AF recurrence was observed in seven (23%). The ventilatory anaerobic threshold (VAT) and peak oxygen consumption (VO2) were significantly higher in patients without AF/AT recurrence than in those with AT/AF recurrences (peak VO2 23.6 ± 5.7 vs 17.2 ± 4.1 mL/kg/min; VAT, 16.7 ± 2.8 vs 13.8 ± 2.7 mL/min/kg). The areas under the receiver operating characteristic curve for the peak VO2 and VAT were 0.786 (P &lt; .01) and 0.789(P &lt; .01), respectively. Both indices had a sensitivity of 70%–80% and specificity of 70%–80% for predicting AT/AF recurrence. Similar results were obtained for the percent values of the predicted peak VO2 and VAT. Conclusions The present pilot study found that CPET can be performed safely at approximately 1 month after AF ablation. The peak VO2 and VAT were significantly associated with AT/AF recurrence. The peak VO2 and VAT were thought to provide helpful information regarding AT/AF recurrence.</abstract><cop>Japan</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>32528572</pmid><doi>10.1002/joa3.12350</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4801-0246</orcidid><oa>free_for_read</oa></addata></record>
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subjects Ablation
Ablation (Surgery)
Anaerobic threshold
Atrial fibrillation
Cardiac arrhythmia
cardiopulmonary function
Care and treatment
Catheters
Diseases
Electrocardiography
Exercise
Heart
irrigated catheter
Laboratories
Original
outcome
Patients
percutaneous catheter treatment
Physical fitness
radiofrequency energy
Relapse
reoccurrence
supraventricular tachyarrhythmia
Tachycardia
Value-added tax
Ventilation
title Correlation of the peak oxygen consumption and ventilatory aerobic threshold by cardiopulmonary exercise testing with atrial fibrillation recurrences after ablation in patients with paroxysmal atrial fibrillation
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