Plasma YKL-40 is elevated in patients with recurrent atrial fibrillation after catheter ablation

Kristoffer Mads Henningsen, Brian Nilsson, Julia S Johansen, Xu Chen, Steen Pehrson, Jesper Hastrup Svendsen, K.M. Henningsen, B. Nilsson, J.S. Johansen, X. Chen, S. Pehrson, J.H. Svendsen

    Research output: Contribution to journalJournal articleResearchpeer-review

    19 Citations (Scopus)

    Abstract

    AIM: To study plasma YKL-40 in patients with atrial fibrillation (AF) treated with radiofrequency (RF) catheter ablation and to assess the predictive role of plasma YKL-40 and its changes after restoration of sinus rhythm (SR). METHODS: Forty-six patients (mean age 55 years, range 31-81) with paroxysmal/persistent AF were treated with RF catheter ablation; Holter monitoring for 14 days was performed before ablation and after 3 months. Recurrent symptomatic AF or atrial tachycardia >10 min was considered failure, and the patients were offered a second ablation session. YKL-40 was determined in plasma samples taken prior to ablation and at follow-up visits up to 12 months after ablation. RESULTS: After a maximum of two ablations, 19 patients (41%) had SR without recurrence of AF after 12 months. The patients with no recurrence of AF had significantly lower baseline plasma levels of YKL-40 prior to ablation compared to patients with recurrence of AF (31 vs. 62 microg/l, P = 0.029). Plasma YKL-40 was not an independent predictor of recurrence of AF after ablation. No significant changes in plasma YKL-40 levels were seen from baseline to follow-up at 12 months. CONCLUSION: In patients with paroxysmal or persistent AF treated with catheter ablation, high plasma YKL-40 before ablation is associated with recurrence of AF.
    Original languageEnglish
    JournalInflammation Research
    Volume59
    Issue number6
    Pages (from-to)463-469
    Number of pages7
    ISSN1023-3830
    DOIs
    Publication statusPublished - 2010

    Bibliographical note

    Keywords: Adult; Aged; Aged, 80 and over; Atrial Fibrillation; Biological Markers; Catheter Ablation; Electrocardiography; Electrocardiography, Ambulatory; Enzyme-Linked Immunosorbent Assay; Female; Follow-Up Studies; Glycoproteins; Humans; Lectins; Logistic Models; Male; Middle Aged; Recurrence; Treatment Outcome

    Cite this