Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation: A two-dimensional myocardial imaging study

Hye Jin Hwang, Eui Young Choi, Sang Jae Rhee, Boyoung Joung, Byung Ho Lee, Sang Hee Lee, Jaedeok Kim, Moon Hyoung Lee, Yangsoo Jang, Namsik Chung, Sung Soon Kim

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Background: The objective of this study was to investigate atrial myocardial properties through two-dimensional (2D) myocardial imaging in patients with atrial fibrillation (AF) and its predictive role for recurrence after catheter ablation. Methods and results: Echocardiographic examinations were performed in 40 patients with paroxysmal AF before catheter ablation and 40 age- and gender-matched healthy control subjects. Using a software package, bidimensional acquisitions were analyzed to measure longitudinal strain and strain rate for the left atrium (LA). Systolic strain and strain rate in all eight segments, and its average values, were significantly reduced in AF patients compared to controls. During 9 months of follow-up after catheter ablation for AF, 11 of 40 AF patients had AF recurrence. AF recurrence was associated with gender, LA volume index, and average values of systolic strain and strain rate. By multivariate analysis, only average strain was an independent predictor of AF recurrence (OR = 0.88, 95% CI 0.79-0.98, p = 0.018). Conclusions: Lower systolic strain of LA was strongly associated with recurrence after catheter ablation. Thus, diverse adjunctive ablation strategies should be considered to reduce recurrence in patients with lower systolic strain.

Original languageEnglish
Pages (from-to)127-132
Number of pages6
JournalJournal of Interventional Cardiac Electrophysiology
Volume26
Issue number2
DOIs
Publication statusPublished - 2009 Nov 1

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Catheter Ablation
Atrial Fibrillation
Recurrence
Heart Atria
Healthy Volunteers
Software
Multivariate Analysis

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Hwang, Hye Jin ; Choi, Eui Young ; Rhee, Sang Jae ; Joung, Boyoung ; Lee, Byung Ho ; Lee, Sang Hee ; Kim, Jaedeok ; Lee, Moon Hyoung ; Jang, Yangsoo ; Chung, Namsik ; Kim, Sung Soon. / Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation : A two-dimensional myocardial imaging study. In: Journal of Interventional Cardiac Electrophysiology. 2009 ; Vol. 26, No. 2. pp. 127-132.
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Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation : A two-dimensional myocardial imaging study. / Hwang, Hye Jin; Choi, Eui Young; Rhee, Sang Jae; Joung, Boyoung; Lee, Byung Ho; Lee, Sang Hee; Kim, Jaedeok; Lee, Moon Hyoung; Jang, Yangsoo; Chung, Namsik; Kim, Sung Soon.

In: Journal of Interventional Cardiac Electrophysiology, Vol. 26, No. 2, 01.11.2009, p. 127-132.

Research output: Contribution to journalArticle

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T1 - Left atrial strain as predictor of successful outcomes in catheter ablation for atrial fibrillation

T2 - A two-dimensional myocardial imaging study

AU - Hwang, Hye Jin

AU - Choi, Eui Young

AU - Rhee, Sang Jae

AU - Joung, Boyoung

AU - Lee, Byung Ho

AU - Lee, Sang Hee

AU - Kim, Jaedeok

AU - Lee, Moon Hyoung

AU - Jang, Yangsoo

AU - Chung, Namsik

AU - Kim, Sung Soon

PY - 2009/11/1

Y1 - 2009/11/1

N2 - Background: The objective of this study was to investigate atrial myocardial properties through two-dimensional (2D) myocardial imaging in patients with atrial fibrillation (AF) and its predictive role for recurrence after catheter ablation. Methods and results: Echocardiographic examinations were performed in 40 patients with paroxysmal AF before catheter ablation and 40 age- and gender-matched healthy control subjects. Using a software package, bidimensional acquisitions were analyzed to measure longitudinal strain and strain rate for the left atrium (LA). Systolic strain and strain rate in all eight segments, and its average values, were significantly reduced in AF patients compared to controls. During 9 months of follow-up after catheter ablation for AF, 11 of 40 AF patients had AF recurrence. AF recurrence was associated with gender, LA volume index, and average values of systolic strain and strain rate. By multivariate analysis, only average strain was an independent predictor of AF recurrence (OR = 0.88, 95% CI 0.79-0.98, p = 0.018). Conclusions: Lower systolic strain of LA was strongly associated with recurrence after catheter ablation. Thus, diverse adjunctive ablation strategies should be considered to reduce recurrence in patients with lower systolic strain.

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