Atrial Fibrillation Cycle Length and Atrial Size in Horses with and without Recurrence of Atrial Fibrillation after Electrical Cardioversion

作者：De Clercq D^*; Decloedt A; Sys S U; Verheyen T; Van der Vekens N; van Loon G

来源：JOURNAL OF VETERINARY INTERNAL MEDICINE, 2014, 28(2): 624-629.

DOI：10.1111/jvim.12322

• Atrial effective refractory period
• Atrial size
• Recurrence of atrial fibrillation
• Electrophysiology

Background
Atrial fibrillation (AF) cycle length (CL) and atrial size have been used in humans to characterize electrical and structural remodeling to predict outcome of cardioversion of AF and risk for AF recurrence (rAF).
Hypothesis
Atrial fibrillation cycle length can be determined in horses with AF, and AFCL and atrial size are related to risk for rAF.
Animals
Eighteen horses with naturally occurring AF that were successfully converted to sinus rhythm (SR) by transvenous electrical cardioversion (TVEC).
Methods
Prospective study. Horses with severe valvular regurgitation, left atrial enlargement, or that required sedation for catheter placement were excluded. In all horses intra-atrial electrograms were recorded and estimated AF duration and echocardiographic parameters were determined before TVEC. The follow-up time was 1year after TVEC.
Results
Atrial fibrillation cycle length could be determined in all horses. The AFCL and the shortest 5th percentile (p5) AFCL in horses with rAF (n=6 or 33%) were (mean +/- SD) 157 +/- 28 and 134 +/- 24milliseconds, respectively, and in those maintaining SR (n=12 or 67%) 166 +/- 13 and 141 +/- 13milliseconds, respectively. Significant parameters to predict rAF were (1) the ratios of the p5AFCL to the left atrium (LA) sizes corrected to the size of aorta (AO) and (2) LA sizes corrected to the size of AO.
Conclusions and Clinical Importance
Before TVEC, assessment of LA size and atrial electrophysiologic characteristics might help to identify horses at increased risk for AF recurrence.

• 出版日期2014-3