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http://hdl.handle.net/1942/29582
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DC Field | Value | Language |
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dc.contributor.author | Galloo, Xavier | - |
dc.contributor.author | Abugattas, Juan-Pablo | - |
dc.contributor.author | Tijskens, Maxime | - |
dc.contributor.author | DENDALE, Paul | - |
dc.contributor.author | Varnavas, Varnavas | - |
dc.contributor.author | Wolf, Michael | - |
dc.contributor.author | Do Cocker, Jeroen | - |
dc.contributor.author | Schwagten, Bruno | - |
dc.contributor.author | Sieira, Juan | - |
dc.contributor.author | Ströker, Erwin | - |
dc.contributor.author | Chierchia, Gian-Battista | - |
dc.contributor.author | de Asmundis, Carlo | - |
dc.contributor.author | De Greef, Yves | - |
dc.date.accessioned | 2019-09-26T07:23:04Z | - |
dc.date.available | 2019-09-26T07:23:04Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Indian Pacing and Electrophysiology Journal, 19(5), p. 171-177. | - |
dc.identifier.issn | 0972-6292 | - |
dc.identifier.uri | http://hdl.handle.net/1942/29582 | - |
dc.description.abstract | Background: Pulmonary vein isolation (PVI) modulates the intrinsic cardiac autonomic nervous system (ANS). We evaluated the impact of PVI on 5 non-invasive autonomic tests. Methods: Thirty patients (76% male, mean age 60.37 ± 9.02 years) with paroxysmal atrial fibrillation (AF) underwent cryoballoon-guided PVI. Five autonomic tests were performed 24hrs before and after PVI (N ¼ 30) and repeated after 6months (N ¼ 22). Parasympathetic function was measured by heart rate (HR) variability during deep breathing (E/I ratio, I-E difference), Valsalva maneuver (Valsalva-ratio) and head-up tilt test (30/15 ratio). Sympathetic function was measured by systolic BP response to sustained handgrip and 10’ tilting and by diastolic BP response to cold water. Results: 24hrs after PVI, baseline HR increased from 57.93 ± 9.06 bpm to 71.10 ± 12.75 bpm (p < 0.001). At 6 months, baseline HR was lower than immediately post-PVI (62.59 ± 7.89 vs 71.36 ± 13.58 bpm, p ¼ 0.032) but still higher in comparison to pre-PVI (62.59 ± 7.89 vs 57.09 ± 8.80 bpm, p < 0.001). No differences were seen in baseline BP and parasympathetic tests acutely and at 6months. Besides an acute lowering in systolic BP increase during handgrip test, all sympathetic tests remained unchanged. Conclusions: An acute HR increase attenuated at 6months and an acute lowered systolic BP response to sustained handgrip were the only changes after cryoballoon-guided PVI. Non-invasive autonomic tests seem therefore not appropriate to evaluate the autonomic modulatory effect of PVI, either due to a too limited sensitivity or a too localized effect of PVI to influence test results | - |
dc.language.iso | en | - |
dc.rights | 2019, Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. This is an open access article under the CC BY-NC-ND license | - |
dc.subject.other | Pulmonary vein isolation | - |
dc.subject.other | Cryoballoon | - |
dc.subject.other | Autonomic function | - |
dc.subject.other | Autonomic testing | - |
dc.title | Impact of cryoballoon-guided pulmonary vein isolation on non-invasive autonomic tests in patients with paroxysmal atrial fibrillation. | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 177 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 171 | - |
dc.identifier.volume | 19 | - |
local.bibliographicCitation.jcat | A1 | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1016/j.ipej.2019.05.002 | - |
local.provider.type | CrossRef | - |
item.fullcitation | Galloo, Xavier; Abugattas, Juan-Pablo; Tijskens, Maxime; DENDALE, Paul; Varnavas, Varnavas; Wolf, Michael; Do Cocker, Jeroen; Schwagten, Bruno; Sieira, Juan; Ströker, Erwin; Chierchia, Gian-Battista; de Asmundis, Carlo & De Greef, Yves (2019) Impact of cryoballoon-guided pulmonary vein isolation on non-invasive autonomic tests in patients with paroxysmal atrial fibrillation.. In: Indian Pacing and Electrophysiology Journal, 19(5), p. 171-177.. | - |
item.validation | vabb 2021 | - |
item.fulltext | With Fulltext | - |
item.accessRights | Open Access | - |
item.contributor | Galloo, Xavier | - |
item.contributor | Abugattas, Juan-Pablo | - |
item.contributor | Tijskens, Maxime | - |
item.contributor | DENDALE, Paul | - |
item.contributor | Varnavas, Varnavas | - |
item.contributor | Wolf, Michael | - |
item.contributor | Do Cocker, Jeroen | - |
item.contributor | Schwagten, Bruno | - |
item.contributor | Sieira, Juan | - |
item.contributor | Ströker, Erwin | - |
item.contributor | Chierchia, Gian-Battista | - |
item.contributor | de Asmundis, Carlo | - |
item.contributor | De Greef, Yves | - |
crisitem.journal.issn | 0972-6292 | - |
Appears in Collections: | Research publications |
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1-s2.0-S0972629219300786-main.pdf | Published version | 747.71 kB | Adobe PDF | View/Open |
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