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Atrioventricular conduction properties in patients with prolonged pauses undergoing ablation of longstanding persistent atrial fibrillation: do pauses during atrial fibrillation matter?
Background Atrioventricular (AV) conduction disturbances have often been considered as an etiology of prolonged pauses during atrial fibrillation (AF). We aimed to test whether there was a significant difference in the AV conduction properties between patients with and without clinically significant...
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| Published in: | Journal of interventional cardiac electrophysiology 2012-09, Vol.34 (3), p.277-285 |
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| cites | cdi_FETCH-LOGICAL-c372t-6f495651bdcc51e084a4c8f38afddda9b9ebe642717917b9878f715610b1008f3 |
| container_end_page | 285 |
| container_issue | 3 |
| container_start_page | 277 |
| container_title | Journal of interventional cardiac electrophysiology |
| container_volume | 34 |
| creator | Sairaku, Akinori Nakano, Yukiko Oda, Noboru Makita, Yuko Kajihara, Kenta Tokuyama, Takehito Motoda, Chikaaki Fujiwara, Mai Kihara, Yasuki |
| description | Background
Atrioventricular (AV) conduction disturbances have often been considered as an etiology of prolonged pauses during atrial fibrillation (AF). We aimed to test whether there was a significant difference in the AV conduction properties between patients with and without clinically significant pauses who underwent ablation of longstanding persistent AF.
Methods
Ninety-nine patients undergoing ablation of longstanding persistent AF were divided into three groups according to the extent of pauses documented on the ambulatory electrocardiogram during AF; patients without pauses (
n
= 25), with pauses of |
| doi_str_mv | 10.1007/s10840-011-9656-z |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1030504552</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2724388841</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-6f495651bdcc51e084a4c8f38afddda9b9ebe642717917b9878f715610b1008f3</originalsourceid><addsrcrecordid>eNp1kctO3TAQhq0KVC7tA3RTWWLTTYrtxHHcTYVQaSshsQGpu8ixnYNRjn3qC6i8Wd-ukxNAFYiVx55v_hnPj9AHSj5TQsRxoqRrSEUorWTL2-r-DdqnXLCq45LvQFx3ddUJ_msPHaR0QwiRhLVv0R5jNW-EqPfR35McXbi1Hg5dJhWxDt4UnV3weBPDxsbsbMIObgoinxO-c_l6zk3Br6yB95KAKN7YuArOr7AaJrUVCCOeoZSVN3MC1JJLGVSwgoZqwqMbopsW_As24VHNlLhVeknhtcrZxq_v0O6opmTfP5yH6Ors2-Xpj-r84vvP05PzSteC5aodG8lbTgejNacWFqYa3Y11p0ZjjJKDtINtGyaokFQMshPdKChvKRlgxwAeok-LLvz4d7Ep92uXtIVpvA0l9ZTUhJOGcwbo0TP0JpToYbotxcAAIYGiC6VjSCnasd9Et1bxD0D97Gu_-NqDr_3sa38PNR8flMuwtuap4tFIANgCpM28OBv_b_2a6j8RLbRm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1030200079</pqid></control><display><type>article</type><title>Atrioventricular conduction properties in patients with prolonged pauses undergoing ablation of longstanding persistent atrial fibrillation: do pauses during atrial fibrillation matter?</title><source>Springer Link</source><creator>Sairaku, Akinori ; Nakano, Yukiko ; Oda, Noboru ; Makita, Yuko ; Kajihara, Kenta ; Tokuyama, Takehito ; Motoda, Chikaaki ; Fujiwara, Mai ; Kihara, Yasuki</creator><creatorcontrib>Sairaku, Akinori ; Nakano, Yukiko ; Oda, Noboru ; Makita, Yuko ; Kajihara, Kenta ; Tokuyama, Takehito ; Motoda, Chikaaki ; Fujiwara, Mai ; Kihara, Yasuki</creatorcontrib><description>Background
Atrioventricular (AV) conduction disturbances have often been considered as an etiology of prolonged pauses during atrial fibrillation (AF). We aimed to test whether there was a significant difference in the AV conduction properties between patients with and without clinically significant pauses who underwent ablation of longstanding persistent AF.
Methods
Ninety-nine patients undergoing ablation of longstanding persistent AF were divided into three groups according to the extent of pauses documented on the ambulatory electrocardiogram during AF; patients without pauses (
n
= 25), with pauses of <3 s (
n
= 52), and with pauses of ≥3 s (
n
= 22). The AV conduction properties, heart rate variability, and bradycardia-related symptoms after conversion to sinus rhythm were compared across the three groups plus a control group (
n
= 35).
Results
Sinus conversion was achieved in all patients after ablation. No differences were found across the groups in the AV conduction properties including the AH and HV intervals, AV nodal effective refractory period, or Wenckebach point. A male gender (
β
= 0.32;
p
= 0.0016), structural heart disease (
β
= 0.24;
p
= 0.02), and the AA interval right after ablation (
β
= 0.35;
p
= 0.0014), rather than the AV conduction properties, were independent determinants of the longest normal RR interval during AF. No patients experienced any bradycardia-related symptoms after ablation.
Conclusions
No AV conduction abnormalities were necessarily identified after the ablation even among the patients suspected of having an AV conduction disturbance during AF.</description><identifier>ISSN: 1383-875X</identifier><identifier>EISSN: 1572-8595</identifier><identifier>DOI: 10.1007/s10840-011-9656-z</identifier><identifier>PMID: 22354773</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Atrial Fibrillation - physiopathology ; Atrial Fibrillation - surgery ; Atrioventricular Node - physiopathology ; Atrioventricular Node - surgery ; Bradycardia - physiopathology ; Cardiology ; Catheter Ablation - methods ; Echocardiography ; Electrocardiography, Ambulatory ; Female ; Heart Rate - physiology ; Humans ; Linear Models ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Retrospective Studies ; Sex Factors</subject><ispartof>Journal of interventional cardiac electrophysiology, 2012-09, Vol.34 (3), p.277-285</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>Springer Science+Business Media, LLC 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-6f495651bdcc51e084a4c8f38afddda9b9ebe642717917b9878f715610b1008f3</citedby><cites>FETCH-LOGICAL-c372t-6f495651bdcc51e084a4c8f38afddda9b9ebe642717917b9878f715610b1008f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22354773$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sairaku, Akinori</creatorcontrib><creatorcontrib>Nakano, Yukiko</creatorcontrib><creatorcontrib>Oda, Noboru</creatorcontrib><creatorcontrib>Makita, Yuko</creatorcontrib><creatorcontrib>Kajihara, Kenta</creatorcontrib><creatorcontrib>Tokuyama, Takehito</creatorcontrib><creatorcontrib>Motoda, Chikaaki</creatorcontrib><creatorcontrib>Fujiwara, Mai</creatorcontrib><creatorcontrib>Kihara, Yasuki</creatorcontrib><title>Atrioventricular conduction properties in patients with prolonged pauses undergoing ablation of longstanding persistent atrial fibrillation: do pauses during atrial fibrillation matter?</title><title>Journal of interventional cardiac electrophysiology</title><addtitle>J Interv Card Electrophysiol</addtitle><addtitle>J Interv Card Electrophysiol</addtitle><description>Background
Atrioventricular (AV) conduction disturbances have often been considered as an etiology of prolonged pauses during atrial fibrillation (AF). We aimed to test whether there was a significant difference in the AV conduction properties between patients with and without clinically significant pauses who underwent ablation of longstanding persistent AF.
Methods
Ninety-nine patients undergoing ablation of longstanding persistent AF were divided into three groups according to the extent of pauses documented on the ambulatory electrocardiogram during AF; patients without pauses (
n
= 25), with pauses of <3 s (
n
= 52), and with pauses of ≥3 s (
n
= 22). The AV conduction properties, heart rate variability, and bradycardia-related symptoms after conversion to sinus rhythm were compared across the three groups plus a control group (
n
= 35).
Results
Sinus conversion was achieved in all patients after ablation. No differences were found across the groups in the AV conduction properties including the AH and HV intervals, AV nodal effective refractory period, or Wenckebach point. A male gender (
β
= 0.32;
p
= 0.0016), structural heart disease (
β
= 0.24;
p
= 0.02), and the AA interval right after ablation (
β
= 0.35;
p
= 0.0014), rather than the AV conduction properties, were independent determinants of the longest normal RR interval during AF. No patients experienced any bradycardia-related symptoms after ablation.
Conclusions
No AV conduction abnormalities were necessarily identified after the ablation even among the patients suspected of having an AV conduction disturbance during AF.</description><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - surgery</subject><subject>Atrioventricular Node - physiopathology</subject><subject>Atrioventricular Node - surgery</subject><subject>Bradycardia - physiopathology</subject><subject>Cardiology</subject><subject>Catheter Ablation - methods</subject><subject>Echocardiography</subject><subject>Electrocardiography, Ambulatory</subject><subject>Female</subject><subject>Heart Rate - physiology</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Sex Factors</subject><issn>1383-875X</issn><issn>1572-8595</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp1kctO3TAQhq0KVC7tA3RTWWLTTYrtxHHcTYVQaSshsQGpu8ixnYNRjn3qC6i8Wd-ukxNAFYiVx55v_hnPj9AHSj5TQsRxoqRrSEUorWTL2-r-DdqnXLCq45LvQFx3ddUJ_msPHaR0QwiRhLVv0R5jNW-EqPfR35McXbi1Hg5dJhWxDt4UnV3weBPDxsbsbMIObgoinxO-c_l6zk3Br6yB95KAKN7YuArOr7AaJrUVCCOeoZSVN3MC1JJLGVSwgoZqwqMbopsW_As24VHNlLhVeknhtcrZxq_v0O6opmTfP5yH6Ors2-Xpj-r84vvP05PzSteC5aodG8lbTgejNacWFqYa3Y11p0ZjjJKDtINtGyaokFQMshPdKChvKRlgxwAeok-LLvz4d7Ep92uXtIVpvA0l9ZTUhJOGcwbo0TP0JpToYbotxcAAIYGiC6VjSCnasd9Et1bxD0D97Gu_-NqDr_3sa38PNR8flMuwtuap4tFIANgCpM28OBv_b_2a6j8RLbRm</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Sairaku, Akinori</creator><creator>Nakano, Yukiko</creator><creator>Oda, Noboru</creator><creator>Makita, Yuko</creator><creator>Kajihara, Kenta</creator><creator>Tokuyama, Takehito</creator><creator>Motoda, Chikaaki</creator><creator>Fujiwara, Mai</creator><creator>Kihara, Yasuki</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120901</creationdate><title>Atrioventricular conduction properties in patients with prolonged pauses undergoing ablation of longstanding persistent atrial fibrillation: do pauses during atrial fibrillation matter?</title><author>Sairaku, Akinori ; Nakano, Yukiko ; Oda, Noboru ; Makita, Yuko ; Kajihara, Kenta ; Tokuyama, Takehito ; Motoda, Chikaaki ; Fujiwara, Mai ; Kihara, Yasuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-6f495651bdcc51e084a4c8f38afddda9b9ebe642717917b9878f715610b1008f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Atrial Fibrillation - physiopathology</topic><topic>Atrial Fibrillation - surgery</topic><topic>Atrioventricular Node - physiopathology</topic><topic>Atrioventricular Node - surgery</topic><topic>Bradycardia - physiopathology</topic><topic>Cardiology</topic><topic>Catheter Ablation - methods</topic><topic>Echocardiography</topic><topic>Electrocardiography, Ambulatory</topic><topic>Female</topic><topic>Heart Rate - physiology</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sairaku, Akinori</creatorcontrib><creatorcontrib>Nakano, Yukiko</creatorcontrib><creatorcontrib>Oda, Noboru</creatorcontrib><creatorcontrib>Makita, Yuko</creatorcontrib><creatorcontrib>Kajihara, Kenta</creatorcontrib><creatorcontrib>Tokuyama, Takehito</creatorcontrib><creatorcontrib>Motoda, Chikaaki</creatorcontrib><creatorcontrib>Fujiwara, Mai</creatorcontrib><creatorcontrib>Kihara, Yasuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medicine (ProQuest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Databases</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiac electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sairaku, Akinori</au><au>Nakano, Yukiko</au><au>Oda, Noboru</au><au>Makita, Yuko</au><au>Kajihara, Kenta</au><au>Tokuyama, Takehito</au><au>Motoda, Chikaaki</au><au>Fujiwara, Mai</au><au>Kihara, Yasuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrioventricular conduction properties in patients with prolonged pauses undergoing ablation of longstanding persistent atrial fibrillation: do pauses during atrial fibrillation matter?</atitle><jtitle>Journal of interventional cardiac electrophysiology</jtitle><stitle>J Interv Card Electrophysiol</stitle><addtitle>J Interv Card Electrophysiol</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>34</volume><issue>3</issue><spage>277</spage><epage>285</epage><pages>277-285</pages><issn>1383-875X</issn><eissn>1572-8595</eissn><abstract>Background
Atrioventricular (AV) conduction disturbances have often been considered as an etiology of prolonged pauses during atrial fibrillation (AF). We aimed to test whether there was a significant difference in the AV conduction properties between patients with and without clinically significant pauses who underwent ablation of longstanding persistent AF.
Methods
Ninety-nine patients undergoing ablation of longstanding persistent AF were divided into three groups according to the extent of pauses documented on the ambulatory electrocardiogram during AF; patients without pauses (
n
= 25), with pauses of <3 s (
n
= 52), and with pauses of ≥3 s (
n
= 22). The AV conduction properties, heart rate variability, and bradycardia-related symptoms after conversion to sinus rhythm were compared across the three groups plus a control group (
n
= 35).
Results
Sinus conversion was achieved in all patients after ablation. No differences were found across the groups in the AV conduction properties including the AH and HV intervals, AV nodal effective refractory period, or Wenckebach point. A male gender (
β
= 0.32;
p
= 0.0016), structural heart disease (
β
= 0.24;
p
= 0.02), and the AA interval right after ablation (
β
= 0.35;
p
= 0.0014), rather than the AV conduction properties, were independent determinants of the longest normal RR interval during AF. No patients experienced any bradycardia-related symptoms after ablation.
Conclusions
No AV conduction abnormalities were necessarily identified after the ablation even among the patients suspected of having an AV conduction disturbance during AF.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>22354773</pmid><doi>10.1007/s10840-011-9656-z</doi><tpages>9</tpages></addata></record> |
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| issn | 1383-875X 1572-8595 |
| language | eng |
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| source | Springer Link |
| subjects | Atrial Fibrillation - physiopathology Atrial Fibrillation - surgery Atrioventricular Node - physiopathology Atrioventricular Node - surgery Bradycardia - physiopathology Cardiology Catheter Ablation - methods Echocardiography Electrocardiography, Ambulatory Female Heart Rate - physiology Humans Linear Models Male Medicine Medicine & Public Health Middle Aged Retrospective Studies Sex Factors |
| title | Atrioventricular conduction properties in patients with prolonged pauses undergoing ablation of longstanding persistent atrial fibrillation: do pauses during atrial fibrillation matter? |
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