Key result
Diverse clinical, blood, urine, and imaging biomarkers may improve clinical scores and help individualize management for predicting atrial fibrillation recurrences and thromboembolic complications.
Why the study?
Can biomarkers predict recurrences and thromboembolic events after rhythm control management in patients with atrial fibrillation?
Can biomarkers predict recurrences and thromboembolic events after rhythm control management in patients with atrial fibrillation?
Biomarkers hold potential to improve risk stratification for AF recurrence and thromboembolic events following catheter ablation.
May refine AF risk scores post-rhythm control; leaves open prospective outcome validation.
Atrial fibrillation (AF) is the most common arrhythmia in clinical praxis and is associated with an increased risk for cardio- and cerebrovascular complications leading to an increased mortality. Catheter ablation represents one of the most important and efficient therapy strategies in AF patients. Nevertheless, the high incidence of arrhythmia recurrences after catheter ablation leads to repeated procedures and higher treatment costs. Recently, several scores had been developed to predict rhythm outcomes after catheter ablation. Biomarker research is also of enormous interest. There are many clinical and blood biomarkers pathophysiologically associated with AF occurrence, progression and recurrences. These biomarkers-including different markers in blood (e. g. von Willebrand factor, D‑dimer, natriuretic peptides) or urine (proteins, epidermal grown factor receptor) but also cardiac imaging (echocardiography, computed tomography, magnetic resonance imaging)-could help to improve clinical scores and be useful for individualized AF management and optimized patients' selection for different AF treatment strategies. In this review, the role of diverse biomarkers and their predictive value related to AF-associated complications are discussed.
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Kornej et al. (2018) conducted a review in Atrial fibrillation. Biomarkers (blood, urine, cardiac imaging) was evaluated. Diverse clinical, blood, urine, and imaging biomarkers may improve clinical scores and help individualize management for predicting atrial fibrillation recurrences and thromboembolic complications.
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