Higher F-wave frequency associates with poor procedural success rate after Maze procedure.
Af
F-wave
Maze procedure
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
10
04
2022
accepted:
21
05
2022
pubmed:
1
7
2022
medline:
18
11
2022
entrez:
30
6
2022
Statut:
ppublish
Résumé
Persistent atrial fibrillation (AF) causes atrial remodeling, which causes myocardial fibrosis and micro-reentry. Fibrosis may reduce wave voltage and micro-reentry may enhance the dominant frequency (DF) of the F-wave. We investigated whether the DF predicts procedural success by the Maze procedure. In 138 consecutive patients who underwent mitral valve surgery and a modified Cox-Maze III procedure for persistent AF in Nagoya University in 2002-2018, 96 (70%) were successfully cardioverted (group S); 42 had persistent or relapsed AF after surgery (group F). Patient data were compared between the groups. Cut-off values were determined by an ROC analysis and predictors of procedural success were evaluated. The DF was obtained from the F-wave of V1 by a high-speed Fourier analysis using the CEPAS software program. Group F showed a significantly larger LA diameter, better LVEF, lower F-wave voltage, higher DF, and longer duration of AF. The cut-off values were as follows: LA diameter, 56 mm; EF, 64.5%; F-wave voltage, 0.13 mV; DF, 7.3 Hz; and duration of AF, 44 months. Each factor showed statistical significance in a univariate analysis; DF lost significance in the multivariate analysis. The higher (DF ≥ 7.3 Hz) and lower voltage group (≤ 0.13 mV) showed the worst procedural success rate (36%), while the lower DF (< 7.3 Hz) and higher voltage group (> 0.13 mV) showed a good rate (86%). The DF of the F-wave is a useful predictor of procedural success after the Maze procedure in addition to the voltage of F-wave.
Identifiants
pubmed: 35771344
doi: 10.1007/s11748-022-01836-0
pii: 10.1007/s11748-022-01836-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
997-1004Informations de copyright
© 2022. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.
Références
Cox JL, Schuessler RB, D’Agostino HJ Jr, Stone CM, Chang BC, Cain ME, et al. The surgical treatment of atrial fibrillation. III. Development of a definitive surgical procedure. J Thorac Cardiovasc Surg. 1991;101:569–83.
doi: 10.1016/S0022-5223(19)36684-X
pubmed: 2008095
MacGregor RM, Khiabiani AJ, Bakir NH, Manghelli JL, Sinn LA, Carter DI, et al. Impact of age on atrial fibrillation recurrence following surgical ablation. J Thorac Cardiovasc Surg. 2021;162(5):1516–28.
doi: 10.1016/j.jtcvs.2020.02.137
pubmed: 32389465
Ad N, Holmes SD, Shuman DJ, Pritchard G. Impact of atrial fibrillation duration on the success of first-time concomitant Cox maze procedures. Ann Thorac Surg. 2015;100:1613–8.
doi: 10.1016/j.athoracsur.2015.04.105
pubmed: 26212511
Sunderland N, Maruthappu M, Nagendran M. What size of left atrium significantly impairs the success of maze surgery for atrial fibrillation? Interact CardioVasc Thorac Surg. 2011;13:332–8.
doi: 10.1510/icvts.2011.271999
pubmed: 21632865
Kakuta T, Fukushima S, Shimahara Y, Yamasaki T, Matsumoto Y, Yamashita K, et al. Contemporary outcomes of the concomitant CryoMaze procedure. Interact Cardiovasc Thorac Surg. 2019;29:28–34.
doi: 10.1093/icvts/ivz029
pubmed: 30820555
Kazui T, Henn MC, Watanabe Y, Kovács SJ, Lawrance CP, Greenberg JW, et al. The impact of 6 weeks of atrial fibrillation on left atrial and ventricular structure and function. J Thorac Cardiovasc Surg. 2015;150:1602-8.e1.
doi: 10.1016/j.jtcvs.2015.08.105
pubmed: 26432717
pmcid: 4651705
Nault I, Lellouche N, Matsuo S, Knecht S, Wright M, Lim KT, et al. Clinical value of fibrillatory wave amplitude on surface ECG in patients with persistent atrial fibrillation. J Interv Card Electrophysiol. 2009;26:11–9.
doi: 10.1007/s10840-009-9398-3
pubmed: 19404588
Yamamoto S, Suwa M, Ito T, Murakami S, Umeda T, Tokaji Y, et al. Comparison of frequency of thromboembolic events and echocardiographic findings in patients with chronic nonvalvular atrial fibrillation and coarse versus fine electrocardiographic fibrillatory waves. Am J Cardiol. 2005;96:408–11.
doi: 10.1016/j.amjcard.2005.03.087
pubmed: 16054469
Lo LW, Tai CT, Lin YJ, Chang SL, Udyavar AR, Hu YF, et al. Predicting factors for atrial fibrillation acute termination during catheter ablation procedures: implications for catheter ablation. Heart Rhythm. 2009;6(3):311–8.
doi: 10.1016/j.hrthm.2008.11.013
pubmed: 19251203
Murase Y, Inden Y, Shibata R, Yanagisawa S, Fujii A, Ando M, et al. The impact of the dominant frequency of body surface electrocardiography in patients with persistent atrial fibrillation. Heart Vessels. 2020;35:967–76.
doi: 10.1007/s00380-020-01563-7
pubmed: 32016538
Sanders P, Berenfeld O, Hocini M, Jaïs P, Vaidyanathan R, Hsu LF, et al. Spectral analysis identifies sites of high-frequency activity maintaining atrial fibrillation in humans. Circulation. 2005;112(6):789–97.
doi: 10.1161/CIRCULATIONAHA.104.517011
pubmed: 16061740
Nogami A, Kurita T, Abe H, Ando K, Ishikawa T, Imai K, et al. JCS/JHRS 2019 guideline on non-pharmacotherapy of cardiac arrhythmias. Circ J. 2021;85:1104–244.
doi: 10.1253/circj.CJ-20-0637
pubmed: 34078838
Cox JL, Jaquiss RI, Schuessler RB, Boineau IP. Modification of the maze procedure for atrial flutter and atrial fibrillation. II. Surgical technique of the maze III procedure. J Thorac Cardiovasc Surg. 1995;110:485–95.
doi: 10.1016/S0022-5223(95)70245-8
pubmed: 7637366
Bollmann A, Husser D, Mainardi L, Lombardi F, Langley P, Murray A, et al. Analysis of surface electrocardiograms in atrial fibrillation: techniques, research, and clinical applications. Europace. 2006;8(11):911–26.
doi: 10.1093/europace/eul113
pubmed: 17043067
Husser D, Stridh M, Sornmo L, Olsson SB, Bollmann A. Frequency analysis of atrial fibrillation from the surface electrocardiogram. Indian Pacing Electrophysiol J. 2004;4(3):122–36.
pubmed: 16943980
pmcid: 1501079
Goette A, Honeycutt C, Langberg JJ. Electrical remodeling in atrial fibrillation. Time course and mechanisms. Circulation. 1996;94(11):2968–74.
doi: 10.1161/01.CIR.94.11.2968
pubmed: 8941128
Li D, Fareh S, Leung TK, Nattel S. Promotion of atrial fibrillation by heart failure in dogs: atrial remodeling of a different sort. Circulation. 1999;100(1):87–95.
doi: 10.1161/01.CIR.100.1.87
pubmed: 10393686
Wijffels MC, Kirchhof CJ, Dorland R, Allessie MA. Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats. Circulation. 1995;92(7):1954–68.
doi: 10.1161/01.CIR.92.7.1954
pubmed: 7671380
Ng J, Kadish AH, Goldberger JJ. Effect of electrogram characteristics on the relationship of dominant frequency to atrial activation rate in atrial fibrillation. Heart Rhythm. 2006;3(11):1295–305.
doi: 10.1016/j.hrthm.2006.07.027
pubmed: 17074635
Bollmann A, Sonne K, Esperer HD, Toepffer I, Langberg JJ, Klein HU. Non-invasive assessment of fibrillatory activity in patients with paroxysmal and persistent atrial fibrillation using the Holter ECG. Cardiovasc Res. 1999;44:60–6.
doi: 10.1016/S0008-6363(99)00156-X
pubmed: 10615390
Lazar S, Dixit S, Marchlinski FE, Callans DJ, Gerstenfeld EP. Presence of left-to-right atrial frequency gradient in paroxysmal but not persistent atrial fibrillation in humans. Circulation. 2004;110(20):3181–6.
doi: 10.1161/01.CIR.0000147279.91094.5E
pubmed: 15533867
Badhwar V, Rankin JS, Ad N, Grau-Sepulveda M, Damiano RJ, Gillinov AM, et al. Surgical ablation of atrial fibrillation in the United States: trends and propensity matched outcomes. Ann Thorac Surg. 2017;104:493–500.
doi: 10.1016/j.athoracsur.2017.05.016
pubmed: 28669501
Ad N, Damiano RJ, Badhwar V, Calkins H, La Meir M, Nitta T, et al. Expert consensus guidelines: examining surgical ablation for atrial fibrillation. J Thorac Cardiovasc Surg. 2017;153:1330-1354.e1.
doi: 10.1016/j.jtcvs.2017.02.027
pubmed: 28390766
Romero I, Fleck E, Kriatselis C. Frequency analysis of atrial fibrillation surface and intracardiac electrograms during pulmonary vein isolation. Europace. 2011;13:1340–5.
doi: 10.1093/europace/eur104
pubmed: 21486914