Why the study?
Long noncoding RNA PVT1 is related to AF diagnosis, prompting investigation into its clinical roles in AF diagnosis and recurrence prediction following RFA.
Does high plasma lncRNA PVT1 expression predict atrial fibrillation recurrence after radiofrequency ablation?
Does high plasma lncRNA PVT1 expression predict atrial fibrillation recurrence after radiofrequency ablation?
High plasma levels of lncRNA PVT1 may serve as a useful biomarker for diagnosing atrial fibrillation and predicting its recurrence following radiofrequency ablation.
May support PVT1 as AF biomarker for diagnosis and post-RFA recurrence; leaves open prospective validation before clinical adoption.
Atrial fibrillation (AF) is a common arrhythmia. Radiofrequency ablation (RFA) is the major AF treatment. Long noncoding RNA (lncRNA) plasmacytoma variant translocation 1 (PVT1) is related to AF diagnosis. This study explored the clinical roles of PVT1 in AF. Totally, 168 AF patients and 100 healthy controls were selected. Plasma lncRNA PVT1 in AF patients before/after RFA was detected and the diagnostic efficacy and postoperative recurrence prediction value in AF were analyzed. Effects of plasma PVT1 expression on AF recurrence and its correlation with transforming growth factor beta 1 (TGF-β1) in the recurrence and non-recurrence groups were analyzed by Pearson coefficient. The risk factors of AF recurrence were evaluated. Plasma PVT1 was highly expressed in AF patients and diminished after RFA. PVT1 level >1.255 assisted AF diagnosis. The plasma PVT1 level in the recurrence group was higher than that of the non-recurrence group. PVT1 level >1.525 assisted the prediction for postoperative recurrence. AF postoperative recurrence incidence in high PVT1 expression group was clearly higher than that in low PVT1 expression group, and plasma PVT1 expression in patients of the recurrence and non-recurrence groups was positively correlated with TGF-β1 content. High PVT1 expression was an independent risk factor for postoperative recurrence. Briefly, high PVT1 level assisted AF diagnosis and recurrence evaluation after RFA and was an independent risk factor for AF postoperative recurrence.
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Wang et al. (2022) studied this question.
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