Resolution of cardiomyopathy after ablation of atrial flutter
Open accessAbstract
OBJECTIVES: We sought to serially assess left ventricular (LV) function before and after catheter ablation of atrial flutter (AFI). BACKGROUND: The relation of tachycardia-induced cardiomyopathy to AFI and its response to direct catheter ablation are unknown. METHODS: LV function was assessed in a series of 59 consecutive patients with successful radiofrequency ablation (RFA) of AFI before and after the procedure. Eleven patients had dilated cardiomyopathy (LV ejection fraction [LVEF] <50%) and congestive heart failure (CHF) symptoms and are the subject of this report. LV function was assessed by LVEF on two-dimensional echocardiography and functional status by New York Heart Association (NYHA) CHF classification. RESULTS: Patients were 59 +/- 8 years old, and were all male. Five patients had a preablation diagnosis of idiopathic cardiomyopathy. The preablation LVEF was 30.9 +/- 11.0% and improved to 41.3 +/- 16% (p = 0.005) when measured 7 months after successful ablation. NYHA CHF class improved from 2.6 +/- 0.5 to 1.6 +/- 0.9 (p = 0.002). Six (55%) of 11 patients had normalization of the LVEF, with complete resolution of CHF symptoms. A lower preablation LVEF and functional class predicted nonresolution of dilated cardiomyopathy (p = 0.002 and 0.001, respectively). CONCLUSIONS: Restoration of normal sinus rhythm by RFA in patients with chronic AFI and cardiomyopathy substantially improved LV function. Resolution of dilated cardiomyopathy occurred in the majority of patients. Tachycardia-induced cardiomyopathy may be a more common mechanism of LV dysfunction in patients with AFI than expected, and aggressive treatment of this arrhythmia should be considered.
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Heart failure due to tachycardiomyopathy is not an uncommon presentation of AFL when the arrhythmia is asymptomatic and sustained for weeks or months.
“Heart failure due to tachycardiomyopathy is a not an uncommon presentation of AFL when the arrhythmia is not symptomatic and sustained for weeks or months.155,156”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [155]
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Cites
Harrison's Principles of Internal Medicine.
(1988) · Annals of Internal Medicine · doi:10.7326/0003-4819-108-3-499_2 · Cited by 12,528 · see citing works
Harrison's Principles of Internal Medicine
Verghese, A. (1994) · JAMA · doi:10.1001/jama.1994.03520080084052 · Cited by 1,376 · see citing works
Coplen, S. E., Antman, E. M., Berlin, J. A., Hewitt, P., & Chalmers, T. C. (1990) · Circulation · doi:10.1161/01.cir.82.4.1106 · Cited by 944 · see citing works
Report of the WHO/ISFC task force on the definition and classification of cardiomyopathies.
(1980) · Heart · doi:10.1136/hrt.44.6.672 · Cited by 757 · see citing works
Radiofrequency ablation of the inferior vena cava-tricuspid valve isthmus in common atrial flutter
Cosío, F. G., López‐Gil, M., Goicolea, A., Arribas, F., & Barroso, J. G. (1993) · The American Journal of Cardiology · doi:10.1016/0002-9149(93)91014-9 · Cited by 550 · see citing works
Feld, G. K., FLECK, R. P., Chen, P., Boyce, K., Bahnson, T. D., Stein, J. B., Calisi, C. M., & Ibarra, M. (1992) · Circulation · doi:10.1161/01.cir.86.4.1233 · Cited by 526 · see citing works
Tachycardia-induced cardiomyopathy: A reversible form of left ventricular dysfunction
Packer, D. L., Bardy, G. H., WORLEY, S. J., Stafford‐Smith, M., Cobb, F. R., Coleman, R. E., Gallagher, J. J., & German, L. D. (1986) · The American Journal of Cardiology · doi:10.1016/0002-9149(86)90836-2 · Cited by 524 · see citing works
Grogan, M. A., Smith, H. C., Gersh, B. J., & Wood, D. L. (1992) · The American Journal of Cardiology · doi:10.1016/0002-9149(92)90705-4 · Cited by 519 · see citing works
Radiofrequency catheter ablation of atrial arrhythmias. Results and mechanisms.
Lesh, M. D., Hare, G. F. V., Epstein, L. M., Fitzpatrick, A. P., Scheinman, M. M., Lee, R. J., Kwasman, M. A., Grogin, H. R., & Griffin, J. C. (1994) · Circulation · doi:10.1161/01.cir.89.3.1074 · Cited by 458 · see citing works
Radiofrequency Catheter Ablation of Atrial Flutter
Poty, H., Saoudi, N. C., Nair, M., Anselme, F., & Letac, B. (1996) · Circulation · doi:10.1161/01.cir.94.12.3204 · Cited by 295 · see citing works
Fibrillar collagen and remodeling of dilated canine left ventricle.
Weber, K. T., Pick, R., Silver, M. A., et al. (1990) · Circulation · doi:10.1161/01.cir.82.4.1387 · Cited by 263 · see citing works
Amico, A. F., Lichtenberg, G. S., Reisner, S. A., et al. (1989) · American Heart Journal · doi:10.1016/0002-8703(89)90018-5 · Cited by 253 · see citing works
Stamm, R. B., Carabello, B. A., Mayers, D. L., & Martin, R. P. (1982) · American Heart Journal · doi:10.1016/0002-8703(82)90651-2 · Cited by 252 · see citing works
Tachycardiomyopathy: Mechanisms and Clinical Implications
Fenelon, G., Wijns, W. C., Andries, E., & Brugada, P. (1996) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1996.tb04796.x · Cited by 233 · see citing works
Auricular fibrillation without other evidence of heart disease
Phillips, E., & Levine, S. A. (1949) · The American Journal of Medicine · doi:10.1016/0002-9343(49)90397-6 · Cited by 206 · see citing works
Treatment of atrial automatic tachycardia by ablation procedures
Gillette, P. C., Wampler, D. G., Garson, A., Zinner, A., Ott, D. A., & Cooley, D. (1985) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(85)80179-0 · Cited by 176 · see citing works
Chronic Supraventricular Tachycardia
Gillette, P. C. (1985) · JAMA · doi:10.1001/jama.1985.03350270089028 · Cited by 162 · see citing works
Peters, K. G., & Kienzle, M. G. (1988) · The American Journal of Medicine · doi:10.1016/s0002-9343(88)80352-8 · Cited by 160 · see citing works
Rich, S., Sheikh, A., Gallastegui, J. L., et al. (1982) · American Heart Journal · doi:10.1016/0002-8703(82)90233-2 · Cited by 153 · see citing works
Heinz, G., Siostrzonek, P., Kreiner, G., & Gössinger, H. (1992) · The American Journal of Cardiology · doi:10.1016/0002-9149(92)90991-7 · Cited by 150 · see citing works
Radiofrequency catheter ablation for the treatment of human type 1 atrial flutter.
Cosío, F. G., Gil, M. L., Arribas, F., & Goicolea, A. (1993) · Circulation · doi:10.1161/circ.88.2.8339442 · Cited by 135 · see citing works
Catheter ablation of atrial flutter using radiofrequency energy
Calkins, H. G., León, A. R., Deam, A. G., Kalbfleisch, S. J., Langberg, J. J., & Morady, F. (1994) · The American Journal of Cardiology · doi:10.1016/0002-9149(94)90007-8 · Cited by 127 · see citing works
Spinale, F. G., Zellner, J. L., Tomita, M., Crawford, F. A., & Zile, M. R. (1991) · Circulation Research · doi:10.1161/01.res.69.4.1058 · Cited by 124 · see citing works
Lemery, R., Brugada, P., Cheriex, E. C., & Wellens, H. J. J. (1987) · The American Journal of Cardiology · doi:10.1016/0002-9149(87)90633-3 · Cited by 108 · see citing works
LV and myocyte structure and function after early recovery from tachycardia-induced cardiomyopathy
Spinale, F. G., Holzgrefe, H. H., Mukherjee, R. D., Arthur, S. R., Child, M., Powell, J. R., & Koster, W. H. (1995) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.1995.268.2.h836 · Cited by 76 · see citing works
Olsson, S. B., Blomström, P., Sabel, K., & William‐Olsson, G. (1984) · The American Journal of Cardiology · doi:10.1016/s0002-9149(84)91329-8 · Cited by 67 · see citing works
Auricular fibrillation with congestive failure and no other evidence of organic heart disease
BRILL, I. C. (1937) · American Heart Journal · doi:10.1016/s0002-8703(37)91208-0 · Cited by 53 · see citing works
Radiofrequency catheter ablation of atrial flutter: Procedural success and long-term outcome
Steinberg, J. S., Prasher, S., Zelenkofske, S., et al. (1995) · American Heart Journal · doi:10.1016/0002-8703(95)90240-6 · Cited by 48 · see citing works
Self-citationIncessant focal atrial tachycardia: A surgically remediable cause of cardiomyopathy
Giorgi, L. V., Hartzler, G. O., & Hamaker, W. R. (1984) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/s0022-5223(19)37398-2 · Cited by 48 · see citing works
Resolution of dilated cardiomyopathy after surgical ablation of ventricular tachycardia in a child
Fyfe, D. A., Gillette, P. C., Crawford, F. A., et al. (1987) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(87)80107-9 · Cited by 43 · see citing works
Ventricular failure and cellular remodeling with chronic supraventricular tachycardia
Spinale, F. G., Crawford, F. A., Hewett, K. W., et al. (1991) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/s0022-5223(19)33937-6 · Cited by 34 · see citing works
Reversible Congestive Cardiomyopathy Due to Chronic Ventricular Tachycardia
Rakovec, P., LAJOVIC, J., & DOLENC, M. (1989) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1989.tb02698.x · Cited by 24 · see citing works
Cardiomyopathy due to Chronic Tachycardias
Alves, L. E. (1985) · JAMA · doi:10.1001/jama.1985.03350450064012 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Gillete P, Smith R, Garson A, et al. Chronic supraventricuar tachycardia: a curable cause of congestive cardiomyopathy. JAMA 1985;253:391-2.
- Braunwald E. Heart Disease. 5th ed. Philadelphia: WB Saunders, 1997: 652.
Cited by
Sorted by citations
Blomstrom-Lundqvist (2003) · doi:10.1161/01.cir.0000091380.04100.84 · Cited by 955 · see citing works
Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
Schmieder, S. (2003) · European Heart Journal · doi:10.1016/s0195-668x(02)00846-1 · Cited by 101 · see citing works
What about Tachycardia-induced cardiomyopathy?
Ellis, E. R., Josephson, M. E., Clinical Fellow, H. M. S., & Herman C. Dana Professor of Medicine, H. M. S. (2013) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2013.2.2.82 · Cited by 55 · see citing works
Time-frequency analysis of normal and abnormal biological signals
Mahmoud, S. S., Hussain, Z. M., Cosic, I., & Fang, Q. (2006) · Biomedical Signal Processing and Control · doi:10.1016/j.bspc.2006.02.001 · Cited by 50 · see citing works
LURIA, D. M., HODGE, D. O., MONAHAN, K. H., HAROLDSON, J. M., SHEN, W., ASIRVATHAM, S. J., HAMMILL, S. C., MUNGER, T. M., GLIKSON, M., GERSH, B. J., et al. (2008) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2008.01206.x · Cited by 34 · see citing works
- Authors
- Luchsinger, J. A., & Steinberg, J. S.
- Affiliations
- St. Luke's-Roosevelt Hospital Center (US)
- Corresponding author
- Steinberg, Jonathan S
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 1998-07
- Volume
- 32
- Issue
- 1
- Pages
- 205-210
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2062316234
- Cited by
- 121
- References
- 33
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 6 · 2021: 8 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 6 · 2013: 5 · 2012: 5
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- atrial flutter, tachycardia-induced cardiomyopathy, radiofrequency catheter ablation, left ventricular function, left ventricular ejection fraction, dilated cardiomyopathy, congestive heart failure, sinus rhythm restoration, NYHA functional class
- MeSH terms
- Adult, Aged, Atrial Flutter, Cardiomyopathy, Dilated, Follow-Up Studies, Heart Atria, Heart Failure, Humans, Male, Middle Aged, Cardiomyopathies, Stroke Volume, Electrocardiography, Ambulatory, Ventricular Function, Left, Catheter Ablation
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