Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5961500 | Heart Rhythm | 2011 | 8 Pages |
Abstract
After radiofrequency catheter ablation of atrial fibrillation (RFCAF), PH with LA diastolic dysfunction or the so-called stiff LA syndrome is a rare but potentially significant complication of AF ablation. Severe LA scarring, LA â¤45 mm, diabetes mellitus, OSA, and high LA pressure are clinical variables that predict the development of this syndrome. The main clinical findings include dyspnea, congestive heart failure, PH, and large V waves on pulmonary capillary wedge pressure (PCWP) or LA pressure tracings in the absence of mitral regurgitation.
Keywords
paroxysmal AFNYHALVEFPAPRHCAADAUCobstructive sleep apneaNew York Heart AssociationOsacoronary artery diseaseDyspneaantiarrhythmic drugpulmonary veinbody mass indexBMICADComplicationconfidence intervalCatheter ablationPulmonary artery pressureAtrial fibrillationarea under the curveodds ratioPAFPulmonary hypertensionRight heart catheterizationleft ventricular ejection fraction
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Authors
Douglas N. MD, Luigi MD, PhD, FHRS, Prasant MBBS, MPH, Jigar D. DO, Rong MD, FHRS, Javier MD, J. David MD, FHRS, J. Thomas MD, Allen D. MD, David S. MD, Rodney MD, G. Joseph MD, Salwa RN, Guy P. MD, David N. MD, Mark Y. MD, Michael R. MD, Devi MD,