Cited 19 times in
Delayed recurrence of atrial fibrillation 2years after catheter ablation is associated with metabolic syndrome
DC Field | Value | Language |
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dc.contributor.author | 김종윤 | - |
dc.contributor.author | 엄재선 | - |
dc.contributor.author | 이문형 | - |
dc.contributor.author | 정보영 | - |
dc.contributor.author | 김태훈 | - |
dc.contributor.author | 박희남 | - |
dc.contributor.author | 양필성 | - |
dc.date.accessioned | 2017-10-26T07:47:42Z | - |
dc.date.available | 2017-10-26T07:47:42Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0167-5273 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152520 | - |
dc.description.abstract | BACKGROUND: Whether delayed clinical recurrence of atrial fibrillation (AF) 2years after radiofrequency catheter ablation (CR>2-years) is related to AF progression remains unclear. OBJECTIVE: We hypothesized that metabolic factors are associated with CL>2-years. METHODS: Among 1825 patients who underwent catheter ablation, the study included 523 patients with AF recurrence (27.2% women, mean age 57±11years, 58.3% paroxysmal AF) 3months after the ablation procedure. They were divided into the clinical recurrence within 2-years (CL≤2-years: AF recurrence at 3-24months) and CL>2-years (AF recurrence >24months) groups. Clinical and imaging parameters and polysomnograms were compared. RESULTS: Over 42±19months of follow-up, 409 (78.2%) and 114 (21.8%) patients formed the CL≤2-years and CL>2-years groups, respectively. The CL>2-years group had higher proportions of overweight (p=0.004), hypertension (p=0.049), diabetes mellitus (p=0.037), dyslipidemia (p=0.009), high sensitivity C-reactive protein >8mg/L (p=0.049), and metabolic syndrome (p=0.011) than the CL≤2-years group. Despite no significant difference between the apnea and hypopnea indices in the CL≤2-years (n=97) and CL>2-years (n=28) groups, the minimum peripheral oxygen saturation was significantly lower in the latter than the former (p=0.032). In the multivariate analysis, overweight (odds ratio [OR] 1.756, 95% confidence interval [CI] 1.146-2.693, p=0.010), dyslipidemia (OR 1.587, 95% CI 1.033-2.438, p=0.035), and metabolic syndrome (OR 1.972, 95% CI 1.158-3.356, p=0.012) were independently associated with CL>2-years. CONCLUSIONS: Overweight, dyslipidemia, and metabolic syndrome are independent predictors of CL>2-years for AF after catheter ablation. CL>2-years seems to be affected by metabolic factors and can be related to AF progression. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF CARDIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Atrial Fibrillation/epidemiology* | - |
dc.subject.MESH | Atrial Fibrillation/physiopathology | - |
dc.subject.MESH | Atrial Fibrillation/surgery* | - |
dc.subject.MESH | Catheter Ablation/trends* | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Metabolic Syndrome/epidemiology* | - |
dc.subject.MESH | Metabolic Syndrome/physiopathology | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Overweight/epidemiology | - |
dc.subject.MESH | Overweight/physiopathology | - |
dc.subject.MESH | Polysomnography/trends | - |
dc.subject.MESH | Recurrence | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Sleep Apnea, Obstructive/epidemiology | - |
dc.subject.MESH | Sleep Apnea, Obstructive/physiopathology | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Delayed recurrence of atrial fibrillation 2years after catheter ablation is associated with metabolic syndrome | - |
dc.type | Article | - |
dc.publisher.location | Netherlands | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Internal Medicine | - |
dc.contributor.googleauthor | Yong-Soo Baek | - |
dc.contributor.googleauthor | Pil-Sung Yang | - |
dc.contributor.googleauthor | Tae-Hoon Kim | - |
dc.contributor.googleauthor | Jae-Sun Uhm | - |
dc.contributor.googleauthor | Jong-Youn Kim | - |
dc.contributor.googleauthor | Boyoung Joung | - |
dc.contributor.googleauthor | Moon-Hyoung Lee | - |
dc.contributor.googleauthor | Hui-Nam Pak | - |
dc.identifier.doi | 10.1016/j.ijcard.2016.08.222 | - |
dc.contributor.localId | A02337 | - |
dc.contributor.localId | A02766 | - |
dc.contributor.localId | A03609 | - |
dc.contributor.localId | A01085 | - |
dc.contributor.localId | A01776 | - |
dc.contributor.localId | A02323 | - |
dc.contributor.localId | A00926 | - |
dc.relation.journalcode | J01093 | - |
dc.identifier.eissn | 1874-1754 | - |
dc.identifier.pmid | 27541672 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0167527316319295?via%3Dihub | - |
dc.subject.keyword | Atrial fibrillation | - |
dc.subject.keyword | Catheter ablation | - |
dc.subject.keyword | Overweight | - |
dc.subject.keyword | Progression | - |
dc.subject.keyword | Recurrence | - |
dc.contributor.alternativeName | Kim, Jong Youn | - |
dc.contributor.alternativeName | Uhm, Jae Sun | - |
dc.contributor.alternativeName | Lee, Moon Hyoung | - |
dc.contributor.alternativeName | Joung, Bo Young | - |
dc.contributor.alternativeName | Kim, Tae Hoon | - |
dc.contributor.alternativeName | Pak, Hui Nam | - |
dc.contributor.alternativeName | Yang, Pil Sung | - |
dc.contributor.affiliatedAuthor | Uhm, Jae Sun | - |
dc.contributor.affiliatedAuthor | Lee, Moon Hyoung | - |
dc.contributor.affiliatedAuthor | Joung, Bo Young | - |
dc.contributor.affiliatedAuthor | Kim, Tae-Hoon | - |
dc.contributor.affiliatedAuthor | Pak, Hui Nam | - |
dc.contributor.affiliatedAuthor | Yang, Pil Sung | - |
dc.contributor.affiliatedAuthor | Kim, Jong Youn | - |
dc.citation.volume | 223 | - |
dc.citation.startPage | 276 | - |
dc.citation.endPage | 281 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF CARDIOLOGY, Vol.223 : 276-281, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 48723 | - |
dc.type.rims | ART | - |
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