Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency Ablation

We aimed to study the long-term sinus reversion rate and recovery of left atrial function after modified surgical radiofrequency ablation for permanent atrial fibrillation caused by mitral valve disease. From March 2014 to May 2020, 35 patients who underwent modified surgical radiofrequency ablation...

Full description

Saved in:
Bibliographic Details
Main Authors: Jingle Cui, Ziyang Hu, Tao Li, Ziyang Guo, Weiquan Luo, Zhiyong Huang
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2021/5667364
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556634362085376
author Jingle Cui
Ziyang Hu
Tao Li
Ziyang Guo
Weiquan Luo
Zhiyong Huang
author_facet Jingle Cui
Ziyang Hu
Tao Li
Ziyang Guo
Weiquan Luo
Zhiyong Huang
author_sort Jingle Cui
collection DOAJ
description We aimed to study the long-term sinus reversion rate and recovery of left atrial function after modified surgical radiofrequency ablation for permanent atrial fibrillation caused by mitral valve disease. From March 2014 to May 2020, 35 patients who underwent modified surgical radiofrequency ablation during cardiac valve surgery in our hospital were selected as the study group, and 25 normal individuals without cardiac structural changes were selected as the control group. The time of modified surgical radiofrequency ablation and long-term sinus reversion rate were measured, and left atrial anteroposterior, superoinferior, left and right diameters, left atrial ejection fraction, left atrial filling index, and left atrial ejection force were measured before and 6 months after surgery. The mean ablation time was 23.2 min, and the long-term sinus reversion rate was 80.0%. The left atrium diameter decreased and the left atrium ejection fraction increased after the operation (P<0.05). The left atrium filling index and ejection force were significantly increased in 28 patients with sinus reversion (P<0.05). The decrease in left atrial diameter and the increase in left atrial ejection fraction were correlated with sinus conversion after surgery (P<0.05). The modified operation is simple, the curative effect is definite, and the sinus reversion rate is high, which is beneficial to the restoration of left atrial structure, ejection function, and hemodynamic function.
format Article
id doaj-art-ba0022dab8894b5fbae0aabd934c2a75
institution Kabale University
issn 2090-8016
2090-0597
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-ba0022dab8894b5fbae0aabd934c2a752025-02-03T05:44:47ZengWileyCardiology Research and Practice2090-80162090-05972021-01-01202110.1155/2021/56673645667364Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency AblationJingle Cui0Ziyang Hu1Tao Li2Ziyang Guo3Weiquan Luo4Zhiyong Huang5Department of Cardiothoracic Surgery, Hospital of Traditional Chinese Medicine of Zhongshan, ZhongShan City 528400, ChinaDepartment of Cardiology, Hospital of Traditional Chinese Medicine of Zhongshan, ZhongShan City 528400, ChinaDepartment of Cardiothoracic Surgery, Hospital of Traditional Chinese Medicine of Zhongshan, ZhongShan City 528400, ChinaDepartment of Cardiothoracic Surgery, Hospital of Traditional Chinese Medicine of Zhongshan, ZhongShan City 528400, ChinaDepartment of Ultrasound, Hospital of Traditional Chinese Medicine of Zhongshan, ZhongShan City 528400, ChinaDepartment of Ultrasound, Hospital of Traditional Chinese Medicine of Zhongshan, ZhongShan City 528400, ChinaWe aimed to study the long-term sinus reversion rate and recovery of left atrial function after modified surgical radiofrequency ablation for permanent atrial fibrillation caused by mitral valve disease. From March 2014 to May 2020, 35 patients who underwent modified surgical radiofrequency ablation during cardiac valve surgery in our hospital were selected as the study group, and 25 normal individuals without cardiac structural changes were selected as the control group. The time of modified surgical radiofrequency ablation and long-term sinus reversion rate were measured, and left atrial anteroposterior, superoinferior, left and right diameters, left atrial ejection fraction, left atrial filling index, and left atrial ejection force were measured before and 6 months after surgery. The mean ablation time was 23.2 min, and the long-term sinus reversion rate was 80.0%. The left atrium diameter decreased and the left atrium ejection fraction increased after the operation (P<0.05). The left atrium filling index and ejection force were significantly increased in 28 patients with sinus reversion (P<0.05). The decrease in left atrial diameter and the increase in left atrial ejection fraction were correlated with sinus conversion after surgery (P<0.05). The modified operation is simple, the curative effect is definite, and the sinus reversion rate is high, which is beneficial to the restoration of left atrial structure, ejection function, and hemodynamic function.http://dx.doi.org/10.1155/2021/5667364
spellingShingle Jingle Cui
Ziyang Hu
Tao Li
Ziyang Guo
Weiquan Luo
Zhiyong Huang
Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency Ablation
Cardiology Research and Practice
title Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency Ablation
title_full Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency Ablation
title_fullStr Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency Ablation
title_full_unstemmed Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency Ablation
title_short Clinical Study on Long-Term Sinus Reversion Rate and Left Atrial Function Recovery of Mitral Valve Disease with Atrial Fibrillation under Modified Surgical Radiofrequency Ablation
title_sort clinical study on long term sinus reversion rate and left atrial function recovery of mitral valve disease with atrial fibrillation under modified surgical radiofrequency ablation
url http://dx.doi.org/10.1155/2021/5667364
work_keys_str_mv AT jinglecui clinicalstudyonlongtermsinusreversionrateandleftatrialfunctionrecoveryofmitralvalvediseasewithatrialfibrillationundermodifiedsurgicalradiofrequencyablation
AT ziyanghu clinicalstudyonlongtermsinusreversionrateandleftatrialfunctionrecoveryofmitralvalvediseasewithatrialfibrillationundermodifiedsurgicalradiofrequencyablation
AT taoli clinicalstudyonlongtermsinusreversionrateandleftatrialfunctionrecoveryofmitralvalvediseasewithatrialfibrillationundermodifiedsurgicalradiofrequencyablation
AT ziyangguo clinicalstudyonlongtermsinusreversionrateandleftatrialfunctionrecoveryofmitralvalvediseasewithatrialfibrillationundermodifiedsurgicalradiofrequencyablation
AT weiquanluo clinicalstudyonlongtermsinusreversionrateandleftatrialfunctionrecoveryofmitralvalvediseasewithatrialfibrillationundermodifiedsurgicalradiofrequencyablation
AT zhiyonghuang clinicalstudyonlongtermsinusreversionrateandleftatrialfunctionrecoveryofmitralvalvediseasewithatrialfibrillationundermodifiedsurgicalradiofrequencyablation