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Tachmatzidis D, Mouselimis D, Tsarouchas A, Filos D, Antoniadis AP, Lysitsas DN, Mezilis N, Sakellaropoulou A, Giannopoulos G, Bakogiannis C, Triantafyllou K, Fragakis N, Efremidis M, Chouvarda I, Vassilikos VP. P-wave beat-to-beat analysis to predict atrial fibrillation recurrence after catheter ablation. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Identification of patients prone to atrial fibrillation (AF) relapse after catheter ablation is essential for better patient selection and risk stratification.
Purpose
The current prospective cohort study aims to validate a novel P-wave index based on beat-to-beat (B2B) P-wave morphological and wavelet analysis designed to detect patients with low burden AF, as a predictor of AF recurrence within a year after successful catheter ablation.
Methods
12-lead ECG and 10-minute vectorcardiogram (VCG) recordings were obtained from 138 consecutive patients scheduled for AF ablation. Pre-ablation B2B P-wave index, along with standard P-wave indices, clinical scores and patients history and physical examination parameters were evaluated as AF recurrence predictors.
Results
Univariate analysis revealed that patients with higher B2B P-wave index had a two-fold risk for AF recurrence (HR: 2.35, 95% CI: 1.24–4.44, p: 0.010). Prolonged P-wave, interatrial block, early AF recurrence, female gender, heart failure history, previous stroke, and CHA2DS2-VASc score ≥2 were also found to be related to higher recurrence rate. Multivariate analysis of predictors that can be assessed before ablation revealed that B2B P-wave index, along with heart failure history and history of previous stroke or transient ischemic attack are independent predicting factors of AF relapse.
Conclusion
B2B P-wave morphology and wavelet analysis, is a promising, non-invasive technique, able to identify patients prone to AF recurrence after pulmonary veins ablation. Further studies are needed to assess the predictive value of B2B index with greater accuracy and evaluate a possible relationship with atrial substrate analysis.
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): Hellenic Society of Cardiology
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Affiliation(s)
- D Tachmatzidis
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | - D Mouselimis
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | - A Tsarouchas
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | - D Filos
- Aristotle University of Thessaloniki, Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, School of Medicine , Thessaloniki , Greece
| | - A P Antoniadis
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | | | - N Mezilis
- Agios Loukas Hospital , Thessaloniki , Greece
| | - A Sakellaropoulou
- Evangelismos Hospital, 2nd Cardiology Department, Electrophysiology Laboratory , Athens , Greece
| | - G Giannopoulos
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | - C Bakogiannis
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | - K Triantafyllou
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | - N Fragakis
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
| | - M Efremidis
- Evangelismos Hospital, 2nd Cardiology Department, Electrophysiology Laboratory , Athens , Greece
| | - I Chouvarda
- Aristotle University of Thessaloniki, Lab of Computing, Medical Informatics and Biomedical Imaging Technologies, School of Medicine , Thessaloniki , Greece
| | - V P Vassilikos
- Aristotle University of Thessaloniki, 3rd Cardiology Department , Thessaloniki , Greece
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Myrovali E, Antoniadis AP, Sotiriadou M, Lazaridis C, Bakogiannis C, Karamanolis A, Kyriakou P, Skeberis V, Fragakis N, Hadjileontiadis L, Vassilikos V. P6634Novel method of analysing heart rate variability at rest predicts a positive tilt table testing in patients with syncope of unknown origin. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Myrovali
- Aristotle University of Thessaloniki, Department of Electrical and Computer Engineering, Thessaloniki, Greece
| | - A P Antoniadis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - M Sotiriadou
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - C Lazaridis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - C Bakogiannis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - A Karamanolis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - P Kyriakou
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - V Skeberis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - N Fragakis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - L Hadjileontiadis
- Khalifa University of Science and Technology, Department of Electrical and Computer Engineering, Abu Dhabi, United Arab Emirates
| | - V Vassilikos
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
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Gould J, Porter B, Claridge S, Chen Z, Sieniewicz B, Sidhu B, Antoniadis AP, Carr-White G, Razavi R, Chiribiri A, Rinaldi CA. 994Quantitative assessment of myocardial scar heterogeneity using texture analysis to predict implantable cardioverter defibrillator therapies using cardiac magnetic resonance imaging. Europace 2018. [DOI: 10.1093/europace/euy015.543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Gould
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - B Porter
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - S Claridge
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - Z Chen
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - B Sieniewicz
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - B Sidhu
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - A P Antoniadis
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - G Carr-White
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - R Razavi
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - A Chiribiri
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
| | - C A Rinaldi
- King's College London, Division of Imaging Sciences & Biomedical Engineering, London, United Kingdom
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Kyriakou P, Giannakidou S, Domeyer PRJ, Fragakis N, Antoniadis AP, Sotiriadou M, Vassilikos V. P426The impact of interventional or medical therapy on the quality of life assessment in patients suffering from supraventricular tachycardias. Europace 2018. [DOI: 10.1093/europace/euy015.237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- P Kyriakou
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - S Giannakidou
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - P-R J Domeyer
- Hellenic Open University, School of Social Sciences, Patras, Greece
| | - N Fragakis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - A P Antoniadis
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - M Sotiriadou
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
| | - V Vassilikos
- Hippocration General Hospital of Thessaloniki, Third Department of Cardiology, Thessaloniki, Greece
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Antoniadis AP, Papafaklis MI, Takahashi S, Tsuda M, Makita Y, Honye J, Nakamura S, Saito S, Feldman CL, Stone PH. Longitudinal heterogeneity of arterial remodeling and endothelial shear stress in human coronary artery plaques and their effects on the natural history of atherosclerosis. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.4366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fragakis N, Antoniadis AP, Korantzopoulos P, Kyriakou P, Koskinas KC, Geleris P. Sinus nodal response to adenosine relates to the severity of sinus node dysfunction. Europace 2011; 14:859-64. [DOI: 10.1093/europace/eur399] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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