Evidence map›Paper›PMID 39630725›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2024

Predictive value of cardiac electrophysiological balance index for recurrent atrial fibrillation after ablation.

Weifeng Yao, Gengling Shi, Yunfei Liu, Xixi Dai, Yang Wu

Abstract read
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Article in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Weifeng YaoShanghai Baoshan District Wusong Central Hospital, Department of Cardiovascular Medicine - Shanghai, China.ORCID http://orcid.org/0009-0001-7525-9899
Gengling ShiShanghai Baoshan District Wusong Central Hospital, Department of Cardiovascular Medicine - Shanghai, China.ORCID http://orcid.org/0009-0000-7233-3611
Yunfei LiuShanghai Baoshan District Wusong Central Hospital, Department of Cardiovascular Medicine - Shanghai, China.ORCID http://orcid.org/0009-0005-4032-2674
Xixi DaiShanghai Baoshan District Wusong Central Hospital, Department of Cardiovascular Medicine - Shanghai, China.ORCID http://orcid.org/0009-0004-0279-2416
Yang WuShanghai Baoshan District Wusong Central Hospital, Department of Cardiovascular Medicine - Shanghai, China.ORCID http://orcid.org/0009-0003-1043-8890

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the prognostic significance of the cardiac electrophysiological balance index in predicting the recurrence of atrial fibrillation following radiofrequency ablation.

methodsPatients with paroxysmal atrial fibrillation undergoing radiofrequency ablation were enrolled from July 2021 to March 2023 and categorized into recurrence and non-recurrence groups based on postoperative atrial fibrillation recurrence during a 6- to 12-month follow-up. Clinical and electrocardiogram data at admission were collected, and cardiac electrophysiological balance index was calculated. Multivariate logistic regression analysis identified independent factors contributing to atrial fibrillation recurrence. Receiver operating characteristic curves assessed predictive values.

resultsAmong 127 subjects, 36 experienced postoperative recurrence (22 paroxysmal atrial fibrillation, 10 atrial flutter, and 4 atrial tachycardia). Significant differences in hypersensitive C-reactive protein levels, QT, QRS, and cardiac electrophysiological balance index were observed between recurrent and non-recurrent groups. Multivariate analysis revealed cardiac electrophysiological balance index as an independent risk factor for recurrence (OR 1.766, 95%CI 1.415-2.204, p<0.001). Receiver operating characteristic curve analysis showed cardiac electrophysiological balance index's predictive value with an area under the curve of 0.865 (95%CI 0.807-0.923, p<0.001), and a cutoff value of 4.3 demonstrated a sensitivity of 87.67% and a specificity of 71.23%.

conclusionsThe cardiac electrophysiological balance index emerges as a non-invasive tool with substantial predictive value for estimating the likelihood of paroxysmal AF recurrence post-ablation.

Indexed as

Atrial FibrillationAtrial FlutterElectrocardiographyElectrophysiologic Techniques, CardiacHeart Conduction SystemRadiofrequency AblationTachycardiaArea Under CurveFemaleFollow-Up StudiesHumansMaleMiddle AgedPredictive Value of TestsPrognosisRecurrence

Identifiers

PMID39630725
PMCPMC11639518

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