Left atrium size and red cell distribution width predict atrial fibrillation progression from paroxysmal or persistent to permanent

Jurin, Ivana; Hadžibegović, Irzal; Durlen, Ivan; Jurinjak, Sandra Jakšić; Mišković, Domagoj; Ajduk, Marko; Jerkić, Helena; Letilović, Tomislav

doi:10.1080/17843286.2019.1599173

Cited by 16 publications

(13 citation statements)

References 14 publications

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“…Jurin et al reported that for every 5-mm increase in LAD, the risk of AF increases 1.39 fold, whereas a LAD <45 mm is a crucial factor in maintaining longterm sinus rhythm (5). In our study, patients in both group A and group B achieved good ablation effects at an early stage.…”

Section: Discussionsupporting

confidence: 57%

“…Valve surgery combined with bipolar AFRA does not have an increased surgical risk compared with simple valve surgery; moreover, it has a higher sinus rhythm recovery rate, a lower incidence of cerebrovascular complications, and a better surgical effect (4). Left atrial diameter (LAD), preoperative cardiac function, and the duration of AF have been shown to be the major factors affecting postoperative sinus rhythm recovery and maintenance (5). However, a conclusion on the range of the LAD for continuous AF has not been reached.…”

Section: Original Articlementioning

confidence: 99%

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Short-term and mid-term effects of radiofrequency ablation in mitral valve surgery in patients with different left atrial sizes

et al. 2020

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Section: Discussionsupporting

confidence: 57%

Section: Original Articlementioning

confidence: 99%

Short-term and mid-term effects of radiofrequency ablation in mitral valve surgery in patients with different left atrial sizes

et al. 2020

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“…Jurin et al[52] recruited 579 patients with AF, 412 with non-permanent AF and 167 with permanent AF, and followed-up the patients with non-permanent AF during a median time of 21 mo. The main endpoint was progression of non-permanent AF to permanent AF.…”

Section: Description Of Studies Outcomementioning

confidence: 99%

Red blood cell distribution width: A marker of anisocytosis potentially associated with atrial fibrillation

Lippi

Cervellin

Sanchís-Gomar

2019

WJC

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The incorporation of biomarkers in the actually used risk scores seem to be helpful for early identifying atrial fibrillation (AF) patients at higher risk. The aim of this critical review of the scientific literature is to investigate the potential clinical significance of red blood cell distribution width (RDW) in AF. A systematic electronic search was carried out to identify all articles describing an epidemiological association between RDW and AF in adult human populations. Data abstraction was conducted on a final number of 35 articles (13 cross-sectional, 12 prospective and 10 retrospective studies). The results of these epidemiological investigations were all virtually concordant to emphasize that an enhanced RDW value is not only a predictive factor and a marker of AF but its measurement may also be helpful for predicting the risk of developing many adverse complications in patients with AF, such as recurrence and duration of AF, hospitalization for heart failure, bleeding, left atrial thrombosis and stasis, thromboembolic events and mortality. AF patients with RDW values exceeding the local reference range may be more aggressively investigated and managed, in order to identify and attenuate the impact of possible underlying disorders causing both anisocytosis and AF.

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“…RDW has been indicated as a biomarker of inflammation and is associated with several cardiovascular events, such as myocardial infarction, atherosclerosis, heart failure, AF, and left atrial thrombus [ 26 – 31 ]. Data from a recent study showed that RDW increased with enlargement of the left atrium and was independently associated with AF progression [ 32 ]. This result indicated that RDW might reflect the volume of the left atrium.…”

Section: Discussionmentioning

confidence: 99%

Association of RDW, NLR, and PLR with Atrial Fibrillation in Critical Care Patients: A Retrospective Study Based on Propensity Score Matching

et al. 2022

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Objective. Previous studies have shown inconsistent results in relation to the red cell distribution width (RDW), neutrophil to lymphocyte ratio (NLR), and platelet to lymphocyte ratio (PLR) of atrial fibrillation (AF). This retrospective study is aimed at detecting the association of RDW, NLR, and PLR with AF. Methods. A total of 4717 critical care patients were screened from the Medical Information Mart for Intensive Care- (MIMIC-) III database. The patients were separated into the non-AF and AF groups. The imbalances between the groups were reduced using propensity score matching (PSM). ROC curves were generated to detect the diagnostic value of RDW, NLR, and PLR. Logistic regression analysis was used to detect the risk factors for AF. Results. A total of 991 non-AF patients paired with 991 AF patients were included after PSM in this study. The RDW level in the AF group was significantly higher than that in the non-AF group ( 15.09 ± 1.93 vs. 14.89 ± 1.91 , P = 0.017 ). Neither NLR nor PLR showed any significant difference between the two groups ( P > 0.05 for each). According to ROC curve, RDW showed a very low diagnostic value of AF ( AUC = 0.5341 ), and the best cutoff of RDW was 14.1 ( ACU = 0.5257 , sensitivity = 0.658 , specificity = 0.395 ). Logistic regression analysis showed that an elevated RDW level increased 1.308-fold ( 95 % CI = 1.077 -1.588, P = 0.007 ) risk of AF. Neither elevated NLR nor elevated PLR was a significant risk factor for AF ( OR = 0.993 , 95 % CI = 0.802 -1.228, P = 0.945 for NLR; OR = 0.945 , 95 % CI = 0.763 -1.170, P = 0.603 for PLR). Conclusions. Elevated RDW level but not NLR or PLR levels is associated with AF. RDW > 14.1 is a risk factor for AF, but its diagnostic capacity for AF is not of great value.

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Left atrium size and red cell distribution width predict atrial fibrillation progression from paroxysmal or persistent to permanent

Cited by 16 publications

References 14 publications

Short-term and mid-term effects of radiofrequency ablation in mitral valve surgery in patients with different left atrial sizes

Short-term and mid-term effects of radiofrequency ablation in mitral valve surgery in patients with different left atrial sizes

Red blood cell distribution width: A marker of anisocytosis potentially associated with atrial fibrillation

Association of RDW, NLR, and PLR with Atrial Fibrillation in Critical Care Patients: A Retrospective Study Based on Propensity Score Matching

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