Crochetage sign may predict late atrial arrhythmias in patients with secundum atrial septal defect undergoing transcatheter closure

Çelık, Mehmet; Yılmaz, Yusuf; Küp, Ayhan; Karagöz, Ali; Kahyaoğlu, Muzaffer; Çakmak, Ender Özgün; Çelik, Fatma; Şengör, Büşra Güvendi; Güner, Ahmet; İzcı, Servet; Kılıçgedik, Alev; Candan, Özkan; Kahveci, Gökhan; Geçmen, Çetin; Kaymaz, Ci̇hangi̇r

doi:10.1016/j.jelectrocard.2021.06.010

Cited by 5 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 11 A cohort study, 22 which included 256 children with secundum ASD and 256 age‐ and gender‐matched children without heart disease, showed that the incidence of crochetage R wave in all three inferior limb leads was 28.13% of subjects with secundum ASD, and it was only 2.73% of subjects with secundum ASD. A retrospective study, 23 which included a total of 314 patients who underwent percutaneous device closure for secundum ASD, showed that crochetage R wave was an independent predictor for late atrial fibrillation or atrial flutter (hazard ratio: 3.90, 95% CI: 2.05–7.76, p < 0.001). Thus, crochetage R wave may also predict atrial fibrillation or atrial flutter in patients who underwent PFO closure.…”

Section: Discussionmentioning

confidence: 99%

The predictive value of abnormal electrocardiogram for patent foramen ovale: A retrospective study

Jin,

Jiao,

Feng

et al. 2023

Clinical Cardiology

View full text Add to dashboard Cite

Background and HypothesisThe objective of this study was to identify the characteristics of electrocardiogram (ECG) in adult patients with patent foramen ovale (PFO) and to analyze the predictive value of the characteristics of ECG for PFO in adult patients.MethodsRetrospectively, 267 patients who had undergone ECG, transthoracic echocardiography (TTE), transesophageal echocardiography (TEE) with agitated saline contrast echocardiography in our hospital, were recruited continuously from January 2021 to March 2023. Electrocardiographs were analyzed to investigate the presence of right bundle branch block (RBBB) and crochetage R wave.ResultsThe ratio of crochetage R wave in inferior leads in patients with PFO was 45.3% and 21.2% without PFO. There were 17 (6.4%) patients with coexistence of crochetage R wave and RBBB, including 13 (6.5%) patients with PFO and four (6.1%) patients without PFO. The accuracies of TTE, crochetage R wave, and RBBB were 0.637, 0.535, and 0.314, respectively. A combination of crochetage R wave and RBBB demonstrated a sensitivity of 0.507 and a specificity of 0.758. When TTE, crochetage R wave, and RBBB were combined, the accuracy, sensitivity, specificity, positive predictive value, and negative predictive value were 0.712, 0.801, 0.439, 0.813, and 0.420, respectively. Logistic regression analysis revealed a correlation between PFO and the presence of crochetage R wave (odds ratio [OR]: 3.073, 95% confidence interval [CI]: 1.601–5.899, p < 0.001), and also a combination between crochetage R wave and RBBB (OR: 3.220, 95% CI: 1.720–6.028, p < 0.001).ConclusionsCrochetage R wave in ECG was associated with PFO. Crochetage R wave, especially combined with RBBB and TTE, may be helpful in the early detection of patients with PFO.

show abstract

Section: Discussionmentioning

confidence: 99%

The predictive value of abnormal electrocardiogram for patent foramen ovale: A retrospective study

Jin,

Jiao,

Feng

et al. 2023

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

“…This sign also has a prognostic significance. A recent study has shown that the presence of crochetage sign may predict the risk of late atrial arrhythmia development after transcatheter ASD closure …”

Section: Discussionmentioning

confidence: 99%

Physiological Murmur in a Pregnant Woman

Karn¹,

Khanal²,

Thakur³

2022

JAMA Intern Med

View full text Add to dashboard Cite

“…Also, increased P-wave duration post device closure can suggest an interatrial compromised conduction via Bachmann’s bundle [ 9 ]. Celik et al showed that QRS fragmentation in inferior leads, called Crochetage sign, may predict incomplete right heart reverse remodeling and that it is significantly associated with late atrial arrhythmias [ 30 ].…”

Section: Predictors Of Arrhythmias After Asd Interventional Closurementioning

confidence: 99%

Arrhythmic Risk and Treatment after Transcatheter Atrial Septal Defect Closure

Deaconu,

Marascu

et al. 2023

Diagnostics

View full text Add to dashboard Cite

Atrial septal defect (ASD) represents the most common congenital heart defect identified in adulthood. Atrial and ventricular geometric remodeling due to intracardiac shunt increase the risk of arrhythmias, especially atrial fibrillation (AF). Clinical, echocardiography, electrocardiogram, and device-related predictors may be used to assess the risk of atrial arrhythmias after ASD closure. The underlying mechanisms in these patients are complex and at least in part independent of the structural remodeling secondary to hemodynamic overload. Device closure of the ASD itself and its timing impact future arrhythmia risk, as well as posing a challenge for when transseptal puncture is required. Sudden cardiac death (SCD) risk is higher than in the general population and an implantable cardioverter-defibrillator (ICD) may be indicated in selected cases.

show abstract

Crochetage sign may predict late atrial arrhythmias in patients with secundum atrial septal defect undergoing transcatheter closure

Cited by 5 publications

References 27 publications

The predictive value of abnormal electrocardiogram for patent foramen ovale: A retrospective study

The predictive value of abnormal electrocardiogram for patent foramen ovale: A retrospective study

Physiological Murmur in a Pregnant Woman

Arrhythmic Risk and Treatment after Transcatheter Atrial Septal Defect Closure

Contact Info

Product

Resources

About