Cited by 496Atrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmiasCardiac Arrhythmias and Treatments

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Structural Abnormalities in Atrial Walls Are Associated With Presence and Persistency of Atrial Fibrillation But Not With Age

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Platonov, Pyotr G., Mitrofanova, Lubov B., Orshanskaya, Victoria, Ho, Siew Yen·2011·Journal of the American College of Cardiology

DOI 10.1016/j.jacc.2011.05.061

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Abstract

Objectives The purpose of this study was to assess the association between structural changes in human atria, age, and history of atrial fibrillation (AF).Background Development of fibrosis in atrial walls is associated with deterioration of atrial conduction and predisposes to AF in experiment. Human data, however, are scarce, and whether fibrosis is a cause or consequence of AF is not known.Methods Medical records for consecutive autopsies were checked for AF history and duration. Atrial specimens from 30 patients (ages 64 ± 12 years) were collected in 3 equal age-matched groups as patients without AF history, with paroxysmal AF, or with permanent AF. Tissue samples were obtained at the level of superior pulmonary veins, inferior pulmonary veins, center of posterior left atrial wall, terminal crest, and Bachmann's bundle. Histology sections were assessed for extent of fibrosis, fatty tissues, and inflammatory infiltration at each location.Results No correlation was observed between age and fibrosis at any location. Fibrosis extent and fatty infiltration were twofold to threefold higher at all locations in patients with history of AF and correlated with lymphomononuclear infiltration. Patients with permanent AF had greater fibrosis extent than did patients with paroxysmal AF.Conclusions In post-mortem material, structural changes in the atria were not associated with age, but were significantly correlated with presence of AF and its severity. Our findings suggest that age-related changes per se are unlikely to be the sole cause of advanced fibrosis underlying AF.

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Authors: Platonov, P. G., Mitrofanova, L. B., Orshanskaya, V., & Ho, S. Y.
Affiliations: Lund University (SE)
Royal Brompton Hospital (GB)
Corresponding author: Platonov, Pyotr G.
ORCID: Platonov, Pyotr G.
Mitrofanova, Lubov B.
Ho, Siew Yen
Venue: Journal of the American College of Cardiology
Publisher: Elsevier BV
Published: 2011-11
Volume: 58
Issue: 21
Pages: 2225-2232
ISSN: 0735-1097 (ISSN-L)
DOI: 10.1016/j.jacc.2011.05.061
OpenAlex: W2062105156
Cited by: 496
References: 31
Citations by year: 2026: 21 · 2025: 26 · 2024: 38 · 2023: 42 · 2022: 44 · 2021: 44 · 2020: 39 · 2019: 39 · 2018: 36 · 2017: 43 · 2016: 36 · 2015: 30 · 2014: 20 · 2013: 22 · 2012: 14
FWCI: 12.49
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 660 d)
Locations: Journal of the American College of Cardiology (publishedVersion)
PubMed (publishedVersion)
Lund University Publications (Lund University) (submittedVersion, other-oa)
Funders: Lund University Hospital
Swedish Heart-Lung Foundation
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Keywords: atrial fibrillation, atrial fibrosis, age, paroxysmal atrial fibrillation, permanent atrial fibrillation, fatty infiltration, pulmonary veins, left atrial wall, Bachmann's bundle, atrial conduction
MeSH terms: Adult, Aged, Aged, 80 and over, Atrial Fibrillation, Biopsy, Needle, Female, Fibrosis, Follow-Up Studies, Heart Atria, Heart Diseases, Humans, Male, Middle Aged, Prognosis, Retrospective Studies, Disease Progression

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Structural Abnormalities in Atrial Walls Are Associated With Presence and Persistency of Atrial Fibrillation But Not With Age

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