Clinical impact of right ventricular-pulmonary artery uncoupling on predicting the clinical outcomes after catheter ablation in persistent atrial fibrillation patients
“…[52] Similarly, Yano et showed that RV-pulmonary artery uncoupling was independently associated with late recurrence of AF after pulmonary vein isolation in a cohort of 203 patients with persistent AF. [53] Discordant results were reported by Govindan et al after analyzing a significantly smaller patient sample of 30 participants with paroxysmal AF. [54] In their study RV strain was impaired in patients with recurrent AF, however this parameter did not predict AF recurrence.…”
Section: Patients Without Apparent Cardiovascular Diseasementioning
Atrial fibrillation (AF) is one of the most common sustained arrhythmias in clinical practice, associated with multiple comorbidities and complication. The potential predictors of AF onset and perpetuation or specific drivers of complications need future investigation. Right ventricular (RV) dysfunction plays an important role in the development of new-onset AF warranting in-depth analysis in relation to AF. RV may play a significant role in a better characterization of the cardiac substrate of AF patients. The relation between RV dysfunction and AF is bidirectional as AF may be one of the causes of RV dysfunction and their coexistence worsens the overall patient prognosis. Our aim is to present in a narrative review the most relevant data regarding the complex relationship between AF and RV dysfunction.
“…[52] Similarly, Yano et showed that RV-pulmonary artery uncoupling was independently associated with late recurrence of AF after pulmonary vein isolation in a cohort of 203 patients with persistent AF. [53] Discordant results were reported by Govindan et al after analyzing a significantly smaller patient sample of 30 participants with paroxysmal AF. [54] In their study RV strain was impaired in patients with recurrent AF, however this parameter did not predict AF recurrence.…”
Section: Patients Without Apparent Cardiovascular Diseasementioning
Atrial fibrillation (AF) is one of the most common sustained arrhythmias in clinical practice, associated with multiple comorbidities and complication. The potential predictors of AF onset and perpetuation or specific drivers of complications need future investigation. Right ventricular (RV) dysfunction plays an important role in the development of new-onset AF warranting in-depth analysis in relation to AF. RV may play a significant role in a better characterization of the cardiac substrate of AF patients. The relation between RV dysfunction and AF is bidirectional as AF may be one of the causes of RV dysfunction and their coexistence worsens the overall patient prognosis. Our aim is to present in a narrative review the most relevant data regarding the complex relationship between AF and RV dysfunction.
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