Low P-wave amplitude (˂0.1 mV) in lead I is associated with displaced inter-atrial conduction and clinical recurrence of paroxysmal atrial fibrillation after radiofrequency catheter ablation
DC Field | Value | Language |
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dc.contributor.author | Park, Jin Kyu | - |
dc.contributor.author | Park, Junbeom | - |
dc.contributor.author | Uhm, Jae-Sun | - |
dc.contributor.author | Joung, Boyoung | - |
dc.contributor.author | Lee, Moon-Hyoung | - |
dc.contributor.author | Pak, Hui-Nam | - |
dc.date.accessioned | 2022-07-15T22:48:40Z | - |
dc.date.available | 2022-07-15T22:48:40Z | - |
dc.date.created | 2021-05-14 | - |
dc.date.issued | 2015-05 | - |
dc.identifier.issn | 1099-5129 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/157201 | - |
dc.description.abstract | Aims We hypothesized that P-wave amplitude in lead I is related to left atrial (LA) remodelling and inter-atrial conduction pattern, and has a predictive value for recurrence after radiofrequency catheter ablation (RFCA) among patients with paroxysmal atrial fibrillation (PAF). Methods and results A total of 525 consecutive patients with PAF (76% male, 56 ± 12 years old) who underwent RFCA were included. We compared pre-procedural sinus rhythm electrocardiograms without antiarrhythmic drug effect with LA volume (CT), LA voltage (NavX), the earliest activation site (EAS) conduction pattern of LA, and clinical recurrence rate. P-wave amplitude in lead I was significantly lower in patients with recurrence than in those that remained in sinus rhythm (P < 0.001) during 21 ± 10-month follow-up. P-wave amplitude in lead I was linearly correlated with LA voltage (β = 2.52, 95% CI 0.606-4.425, P = 0.010), LA conduction velocity (β = 1.91, 95% CI 0.941-2.876, P < 0.001), and low septal displacement of EAS (β = -1.67, 95% CI -2.352 to -0.996, P < 0.001). P-wave amplitudes <0.1 mV in lead I were independently associated with clinical recurrence of AF on multivariate Cox regression analysis (adjusted HR 2.163, 95% CI 1.307-3.581, P = 0.003). The integrated area under the curves was 0.705 (95% CI 0.655-0.755). Conclusion Low P-wave amplitude (<0.1 mV) in lead I is related to LA remodelling and displaced inter-atrial conduction pattern to low septum, and independently predicts clinical recurrence after RFCA in patients with PAF. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS | - |
dc.title | Low P-wave amplitude (˂0.1 mV) in lead I is associated with displaced inter-atrial conduction and clinical recurrence of paroxysmal atrial fibrillation after radiofrequency catheter ablation | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Jin Kyu | - |
dc.identifier.doi | 10.1093/europace/euv028 | - |
dc.identifier.scopusid | 2-s2.0-84965172463 | - |
dc.identifier.wosid | 000374415500013 | - |
dc.identifier.bibliographicCitation | EUROPACE, v.18, no.3, pp.384 - 391 | - |
dc.relation.isPartOf | EUROPACE | - |
dc.citation.title | EUROPACE | - |
dc.citation.volume | 18 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 384 | - |
dc.citation.endPage | 391 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | EXPERT CONSENSUS STATEMENT | - |
dc.subject.keywordPlus | PULMONARY VEIN ISOLATION | - |
dc.subject.keywordPlus | SURGICAL ABLATION | - |
dc.subject.keywordPlus | BACHMANNS BUNDLE | - |
dc.subject.keywordPlus | FOLLOW-UP | - |
dc.subject.keywordPlus | RECOMMENDATIONS | - |
dc.subject.keywordPlus | CARDIOVERSION | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | RHYTHM | - |
dc.subject.keywordPlus | BLOCK | - |
dc.subject.keywordAuthor | P-wave | - |
dc.subject.keywordAuthor | Paroxysmal atrial fibrillation | - |
dc.subject.keywordAuthor | Catheter ablation | - |
dc.subject.keywordAuthor | Recurrence | - |
dc.subject.keywordAuthor | Inter-atrial conduction | - |
dc.identifier.url | https://academic.oup.com/europace/article/18/3/384/2398555 | - |
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