Arrhythmias & electrophysiology

Pulmonary Vein Myocardial Sleeve Length and its Association With Sex and 4q25/PITX2 Genotype

JACC Clin ElectrophysiolPublished Prospective observational cohort study

Main finding · PV sleeve lengthResult — go to the resultDifference 2.94 mm 95% CI 0.99–4.90

Authors' conclusion

Common genetic variation at 4q25 was not associated with PV sleeve length and PV sleeve length was not associated with ablation outcomes. Men did have longer PV sleeves than women

Study context

Population
Patients undergoing de novo atrial fibrillation (AF) ablation, 2014–2019
Participants
197 patients
Exposure
Clinical and genetic risk factors vs pulmonary vein (PV) sleeve length
  • Menn = 133
Outcome
PV myocardial sleeve length (electroanatomic voltage mapping) by clinical and genetic (4q25, rs2200733) risk factors, multivariable linear regression

Main finding

PV sleeve length

Difference

2.94 mm

95% CI 0.99–4.90

P < 0.001

Menvs Women
difference 2.94 mm (95% CI 0.99–4.90); P < 0.001

As reported in the abstract

One 4q25 risk allele
Sixty participants (30.5%)
Two 4q25 risk alleles
6 (3.1%)

Observational data: associations, not effects.

Further findings

Atrial arrhythmia recurrence (>30 s) after ablation · 3 to 12 months

Recurrence
Forty-six participants (23.4%)
No association between recurrence and PV sleeve length

Original publication

Pulmonary Vein Myocardial Sleeve Length and its Association With Sex and 4q25/PITX2 Genotype. JACC Clin Electrophysiol. Published 22 March 2023. doi:10.1016/j.jacep.2022.12.028

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.