Predictive value of deceleration capacity of heart rate combined with fibrillatory wave amplitude on lead V1 of surface electrocardiography in atrial fibrillation patients with recurrence after radiofrequency catheter ablation

doi:10.3877/cma.j.issn.2095-5782.2016.04.004

Abstract

Abstract:

Objective:

To explore the predictive value of deceleration capacity of heart rate(DC) combined with fibrillatory wave amplitude on lead V₁ of surface electrocardiography in atrial fibrillation (AF) patients with recurrence after radiofrequency catheter ablation.

Methods:

56 AF patients who underwent radio frequency catheter ablation for the first time from June 2015 to June 2016 were selected for this study. According to the follow-up results, these patients were divided into the non-recurrent group (n=36) and the recurrent group (n=20). Their basic information, DC values, fibrillatory wave amplitude on lead V₁ of surface electrocardiography were collected and compared to establish a Logistic regression model, based on which, the risk factors for AF patients after radiofrequency catheter ablation were screened. DC values, fibrillatory wave amplitude on lead V₁ of surface electrocardiography and the combination of the two methods were depicted into Receiver operating curve (ROC), and to evaluate the predictive value of the combination of the two methods on the recurrence of the AF patients who underwent radio frequency catheter ablation.

Results:

The DC value in the recurrence group (5.89±1.00) was higher than that in the non recurrence group(4.88±0.99). The fibrillatory wave amplitude on lead V₁ of surface electrocardiography in the recurrence group (0.094±0.014 mV) was less than that in the non recurrence group(0.109±0.018 mV) (all P<0.05). Postoperative DC was significantly decreased compared with the preoperative value. Multivariate Logistic regression analysis showed that the DC value、fibrillatory wave amplitude on lead V₁ of surface electrocardiography are independent risk factors for recurrence after radiofrequency ablation in AF patients. The ROC curves of DC and mean amplitude showed AUC were 0.764 and 0.748(P=0.86). The ROC curves of combination of the two methods showed AUC was 0.837, higher than their respective values (P < 0.05).

Conclusions:

Deceleration capacity of heart rate(DC) combined with fibrillatory wave amplitude on lead V₁ of surface electrocardiography has a predictive value in atrial fibrillation(AF) patients who likely will have recurrence after radiofrequency catheter ablation.

Key words: Deceleration capacity of heart rate, Fibrillatory wave amplitude, Atrial fibrillation, Catheter radiofrequency ablation, Recurrence

Wei Song, Wenju Yan, Huanyi Zhang, Zhongxiu Guo, Fazhan Zhou. Predictive value of deceleration capacity of heart rate combined with fibrillatory wave amplitude on lead V₁ of surface electrocardiography in atrial fibrillation patients with recurrence after radiofrequency catheter ablation[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(04): 202-206.

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Figures/Tables 4

References 14

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组别	例数	年龄（岁）	男性（%）	BMI（kg/ m²）	合并高血压	合并冠心病	LA（mm）	LVEF
未复发组	36	57.28±10.04	21（58.3）	24.56±1.66	10（27.78）	17(47.2)	38.03±3.34	0.601±0.059
复发组	20	56.75±9.58	11（55.0）	26.25±1.76	14（70.00）	7（35.0）	40.45±4.22	0.606±0.076
统计量	?	t=0.19	χ²=0.06	t=3.61	χ²=9.36	χ²=0.78	t=2.36	t=0.28
P值	?	0.850	1	0.001	0.002	0.380	0.022	0.781
组别	例数	胆固醇（mmol/L）	低密度脂蛋白胆固醇（mmol/L）	同型半胱氨酸（μmol/L）	病程（月）	持续性房颤	f波平均振幅（mV）
未复发组	36	4.93±0.85	2.52±0.55	10.89±2.56	9.86±5.09	21（58.33）	0.109±0.018
复发组	20	4.90±0.63	2.57±0.68	11.69±3.78	12.00±4.14	6（30.00）	0.094±0.014
统计量	?	t=0.14	t=0.34	t=0.94	t=2.83	χ²=4.13	t=2.31
P值	?	0.891	0.734	0.352	0.014	0.042	0.001

组别	例数	年龄（岁）	男性（%）	BMI（kg/ m²）	合并高血压	合并冠心病	LA（mm）	LVEF
未复发组	36	57.28±10.04	21（58.3）	24.56±1.66	10（27.78）	17(47.2)	38.03±3.34	0.601±0.059
复发组	20	56.75±9.58	11（55.0）	26.25±1.76	14（70.00）	7（35.0）	40.45±4.22	0.606±0.076
统计量	?	t=0.19	χ²=0.06	t=3.61	χ²=9.36	χ²=0.78	t=2.36	t=0.28
P值	?	0.850	1	0.001	0.002	0.380	0.022	0.781
组别	例数	胆固醇（mmol/L）	低密度脂蛋白胆固醇（mmol/L）	同型半胱氨酸（μmol/L）	病程（月）	持续性房颤	f波平均振幅（mV）
未复发组	36	4.93±0.85	2.52±0.55	10.89±2.56	9.86±5.09	21（58.33）	0.109±0.018
复发组	20	4.90±0.63	2.57±0.68	11.69±3.78	12.00±4.14	6（30.00）	0.094±0.014
统计量	?	t=0.14	t=0.34	t=0.94	t=2.83	χ²=4.13	t=2.31
P值	?	0.891	0.734	0.352	0.014	0.042	0.001

组别	例数	术前DC（ms）	术后DC（ms）	t值	P值
未复发组	36	4.88±0.99	4.28±0.66	6.35	<0.001
复发组	20	5.89±1.00	5.13±0.87	8.17	<0.001
t值	?	3.31	4.51	?	?
P值	?	0.001	<0.001	?	?

组别	例数	术前DC（ms）	术后DC（ms）	t值	P值
未复发组	36	4.88±0.99	4.28±0.66	6.35	<0.001
复发组	20	5.89±1.00	5.13±0.87	8.17	<0.001
t值	?	3.31	4.51	?	?
P值	?	0.001	<0.001	?	?

变量	单因素		多因素
变量	OR值(95%CI)	P值	OR值(95%CI)	P值
BMI	1.76(1.22～2.54)	0.002	2.032(1.108～3.728)	0.022
合并高血压	6.07(1.82～20.20)	0.003	19.377(1.594～235.485)	0.020
LA	1.20(1.02～1.41)	0.029	0.871(0.646～1.176)	0.368
持续性房颤	3.27(1.02～10.46)	0.046	24.572(1.903～317.212)	0.014
DC	2.77(1.44～5.36)	0.002	2.953(1.075～8.112)	0.036
f波平均振幅	<0.01(<0.01～<0.01)	0.004	0.01(<0.01～0.01)	0.010

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Predictive value of deceleration capacity of heart rate combined with fibrillatory wave amplitude on lead V₁ of surface electrocardiography in atrial fibrillation patients with recurrence after radiofrequency catheter ablation

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