Association of P wave duration index with atrial fibrillation recurrence after cryoballoon catheter ablation

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dc.authoridKOCA, HASAN/0000-0002-6232-4567
dc.authoridKoca, Fadime/0000-0003-0444-674X
dc.authoridOkar, Sefa/0000-0003-1413-7393
dc.contributor.authorKaypakli, Onur
dc.contributor.authorKoca, Hasan
dc.contributor.authorSahin, Durmus Yildiray
dc.contributor.authorOkar, Sefa
dc.contributor.authorKaratas, Fadime
dc.contributor.authorKoc, Mevlut
dc.date.accessioned2024-09-18T20:53:04Z
dc.date.available2024-09-18T20:53:04Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAim: We aimed to investigate the relationship between the recurrence of AF and P wave duration index (PWDI) in patients with nonvalvular PAF. Methods: We included 114 patients who underwent cryoballoon catheter ablation with the diagnosis of paroxysmal atrial fibrillation (PAF) (55 male, 59 female; mean age 55.5 +/- 10,9 years). PWDI was calculated by dividing the Pwd by the PR interval in DII lead of 1201ead ECG. Patients had regular follow-up visits with 12-lead ECG, medical history and clinical evaluation. 24 h Holter ECG monitoring had been recorded at least 12 months after ablation. Results: AF recurrence was detected in 24 patients after 1 year. Patients were divided into two groups according to the AF recurrence. All parameters were compared between the two groups. Age, DM, HT frequency, ACEI-ARB use, CHA2DS2VASc and HAS-BLED score, HsCRP, LA diameter, LA volume, LA volume index, Pwd and PWDI were related to AF recurrence. In binary logistic regression analysis, PWDI (OR = 1.143, p = 0.001) and HT (OR = 0.194, p = 0.020) were found to be independent parameters for predicting AF recurrence. Every 0,01 unit increase in PWDI was found to be associated with 14.3% increase in the risk of AF recurrence. The cut-off value of PWDI obtained by ROC curve analysis was 59,9 for prediction of AF recurrence (sensitivity: 75.0%, specificity: 69.0%). The area under the curve (AUC) was 0.760 (p < 0.001). Conclusion: Increased PWDI may help to identify those patients in whom electrical remodeling has already occurred and who will get less benefit from cryoablation. (C) 2017 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jelectrocard.2017.09.016
dc.identifier.endpage187en_US
dc.identifier.issn0022-0736
dc.identifier.issn1532-8430
dc.identifier.issue2en_US
dc.identifier.pmid29146378en_US
dc.identifier.scopus2-s2.0-85034605845en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage182en_US
dc.identifier.urihttps://doi.org/10.1016/j.jelectrocard.2017.09.016
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11560
dc.identifier.volume51en_US
dc.identifier.wosWOS:000428834700004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherChurchill Livingstone Inc Medical Publishersen_US
dc.relation.ispartofJournal of Electrocardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectP wave duration indexen_US
dc.subjectAF recurrenceen_US
dc.subjectCryoablationen_US
dc.titleAssociation of P wave duration index with atrial fibrillation recurrence after cryoballoon catheter ablationen_US
dc.typeArticleen_US

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