Evaluation of the effects of 3D mapping ablation on atrial conduction times in patients with paroxysmal atrial fibrillation

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dc.authorid0000-0002-6913-9073en_US
dc.authorid0000-0001-6595-7493en_US
dc.contributor.authorDönmez, İbrahim
dc.contributor.authorMemioğlu, Tolga
dc.contributor.authorAcar, Emrah
dc.contributor.authorErdem, Fatma
dc.date.accessioned2023-11-10T10:35:54Z
dc.date.available2023-11-10T10:35:54Z
dc.date.issued2022en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractAim: Atrial fibrillation (AF) causes structural, electrical, and cellular remodeling in the atrium. Evaluation of intra-and interatrial conduction time, indicates structural and electrical remodeling in the atrium. This study aimed to evaluate the effect of pulmonary vein isolation applied with radiofrequency ablation (RF) therapy on intra-and interatrial conduction time and to investigate the structural and electrically remodeling after treatment.Material and Methods: Fifty-two patients with symptomatic PAF despite at least one antiarrhythmic drug and without structural heart disease were included in the study. Two patients were excluded because of complications developed during and after the operation. Fifty patients (28 female; mean age: 51.68 +/- 11.731; mean left atrial diameter: 36.79 +/- 4.318) who underwent CARTO (R) 3D pulmonary vein isolation applied with the RF ablation system were followed-up. Intra-and inter-atrial electromechanical delay was measured in all patients using tissue doppler echocardiography before and three months after RF ablation.Results: All intra-and interatrial conduction times were significantly decreased 3 months after RF ablation procedure (PA lateral p = 0.022; PA septum p = 0.002; PA tricuspid p = 0.019, interatrial conduction delay p= 0,012, intra-atrial conduction delay p = 0.029).Discussion: The results of our study suggest that providing stable sinus rhythm with RF ablation may slow down, stop or even improve structural remodeling at substrate level secondary to AF even in patients with paroxysmal AF who did not yet develop atrial fibrosis and permanent structural changes.en_US
dc.identifier.citationDonmez, I., Memioglu, T., Acar, E., Erdem, F. (2022). Evaluation of the effects of 3D mapping ablation on atrial conduction times in patients with paroxysmal atrial fibrillation. Annals of Clinical and Analytical Medicine, 13, 1373-1377.en_US
dc.identifier.doi10.4328/ACAM.21367
dc.identifier.endpage1377en_US
dc.identifier.issn2667-663X
dc.identifier.issue12en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1373en_US
dc.identifier.urihttp://dx.doi.org/10.4328/ACAM.21367
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11823
dc.identifier.volume13en_US
dc.identifier.wosWOS:000895809100017en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorDönmez, İbrahim
dc.institutionauthorMemioğlu, Tolga
dc.institutionauthorAcar, Emrah
dc.language.isoenen_US
dc.publisherBayrakol Medical Publisheren_US
dc.relation.ispartofAnnals of Clinical and Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPulmonary Vein Isolationen_US
dc.subjectRadiofrequency Ablationen_US
dc.subjectAtrial Conduction Timeen_US
dc.subjectTissue Doppler Echocardiographyen_US
dc.subjectRythm Controlen_US
dc.titleEvaluation of the effects of 3D mapping ablation on atrial conduction times in patients with paroxysmal atrial fibrillationen_US
dc.typeArticleen_US

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