Effects of Radiofrequency Catheter Ablation on Cardiac Reserve Using Preload Stress Echocardiography in Paroxysmal and Persistent Atrial Fibrillation

• 資料種別: 博士論文
• タイトル: Effects of Radiofrequency Catheter Ablation on Cardiac Reserve Using Preload Stress Echocardiography in Paroxysmal and Persistent Atrial Fibrillation
• 著者・編者: Ishii, Nao; Kusunose, Kenya; Shono, Ayu; Matsumoto, Kensuke; Nishio, Susumu; Yamaguchi, Natsumi; Hirata, Yukina; Matsuura, Tomomi; Ise, Takayuki; Yamaguchi, Koji; Yagi, Shusuke; Fukuda, Daiju; Yamada, Hirotsugu; Soeki, Takeshi; Wakatsuki, Tetsuzo; Sata, Masataka
• 著者標目: Ishii, Nao; Kusunose, Kenya; Shono, Ayu; Matsumoto, Kensuke; Nishio, Susumu; Yamaguchi, Natsumi; Hirata, Yukina; Matsuura, Tomomi; Ise, Takayuki; Yamaguchi, Koji; Yagi, Shusuke; Fukuda, Daiju; Yamada, Hirotsugu; Soeki, Takeshi; Wakatsuki, Tetsuzo; Sata, Masataka
• 出版事項: Elsevier
• 出版年月日等: 2022-01-19
• 出版年（W3CDTF）: 2022-01-19
• 並列タイトル等: 心収縮予備能に対する心房細動カテーテルアブレーションの効果 : 下肢陽圧負荷心エコー図法を用いた検討; Coronary Artery Disease/Effects of Ablation on Cardiac Reserve
• タイトル（掲載誌）: The American Journal of Cardiology
• 巻号年月日等（掲載誌）: 168
• 掲載巻: 168
• 掲載ページ: 71-77
• ISSN（掲載誌）: ISSN : 0002-9149
• 授与機関名: 徳島大学
• 授与年月日: 2022-03-23
• 報告番号: 甲第3597号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Echocardiography; Preload Stress; atrial fibrillation; Cardiac Reserve; left atrial function
• 対象利用者: 一般
• 一般注記: The effects of catheter ablation on exercise tolerance and quality of life in patients with atrial fibrillation (AF) have been reported. We assessed cardiac function in more detail using the leg positive pressure (LPP) technique and found that contractile reserve is particularly important in relation to exercise tolerance and prognosis. In this study, we used the LPP technique to examine changes in contractile reserve immediately after ablation and 6 months later. We prospectively enrolled patients who underwent catheter ablation for AF at 2 institutes. We performed LPP stress echocardiography 2 to 3 days after (FU-1) and 6 months after (FU-2) ablation to examine changes in cardiac function indexes. The primary end point was improvement in contractile reserve. Ultimately, 109 patients (mean age 67.4 ± 9.6 years; 70% men) underwent 2 sessions of LPP stress echocardiography. The median CHA2DS2-VASC score was 2 (interquartile range 13). From FU-1 to FU-2, the change in the stroke volume index after the LPP maneuver increased in patients with paroxysmal and persistent AF with low CHA2DS2-VASC scores (both p <0.05). Regardless of AF subtype, contractile reserve at FU-2 improved in patients with low CHA2DS2-VASC scores compared with that at FU-1. In contrast, patients with high CHA2DS2-VASC scores had no change. In conclusion, patients with AF with a low CHA2DS2-VASC score had improved contractile reserve after ablation, whereas patients with high scores did not show any improvement. Aggressive interventions in patients with high scores may lead to better management after catheter ablation.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1016/j.amjcard.2021.12.026
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/11/116987/20220506160501435869/k3597_abstract_review.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/116987/20220506160501871595/k3597_fulltext.pdf fulltext