{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:35:49Z","timestamp":1777548949508,"version":"3.51.4"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2016,12]]},"abstract":"\n Background<\/jats:title>\n \n This study assessed the role of surgical ablation for atrial fibrillation (\n AF<\/jats:styled-content>\n ) in decreasing tricuspid regurgitation (\n TR<\/jats:styled-content>\n ) and right\u2010sided heart remodeling in patients after mitral valve procedure.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n Between 1994 and 2014, 1568 consecutive patients with\n AF<\/jats:styled-content>\n undergoing mitral valve procedure were identified. In 26.0% (n=408), surgical ablation of\n AF<\/jats:styled-content>\n was used. Propensity\u2010score matching (\n PSM<\/jats:styled-content>\n ) was performed on the basis of 41 known perioperative risk variables. Survival, reoperation, stroke, and moderate\u2010to\u2010severe\n TR<\/jats:styled-content>\n , as well as echocardiography indices in long\u2010term follow\u2010up, were compared in 406 matched patient pairs (ablated and nonablated groups). The nonablated group showed significantly higher risks of death (hazard ratio [\n HR<\/jats:styled-content>\n ], 1.644; 95%\n CI<\/jats:styled-content>\n , 1.081\u20132.501;\n P<\/jats:italic>\n =0.020), reoperation (\n HR<\/jats:styled-content>\n , 2.644; 95%\n CI<\/jats:styled-content>\n , 1.299\u20135.466;\n P<\/jats:italic>\n =0.008), and moderate\u2010to\u2010severe\n TR<\/jats:styled-content>\n (\n HR<\/jats:styled-content>\n , 1.436; 95%\n CI<\/jats:styled-content>\n , 1.059\u20131.948;\n P<\/jats:italic>\n =0.020), associated with a significantly deteriorated cardiac function, progression of\n TR<\/jats:styled-content>\n , and right\u2010sided heart remodeling after 5\u2010year follow\u2010up. In a subgroup comparison of ablated patients with sinus rhythm versus\n AF<\/jats:styled-content>\n recurrence, a\n PSM<\/jats:styled-content>\n analysis was performed at the 5\u2010year follow\u2010up. The recurrent group showed significantly higher risks of moderate\u2010to\u2010severe\n TR<\/jats:styled-content>\n (\n HR<\/jats:styled-content>\n , 2.427; 95%\n CI<\/jats:styled-content>\n , 1.261\u20134.671;\n P<\/jats:italic>\n =0.008).\n AF<\/jats:styled-content>\n recurrence was associated with progressive\n TR<\/jats:styled-content>\n and significant deterioration in right\u2010sided heart remodeling.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n In a retrospective\n PSM<\/jats:styled-content>\n analysis, mitral valve disease with\n AF<\/jats:styled-content>\n was associated with\n TR<\/jats:styled-content>\n progression as well as right\u2010sided heart remodeling, which are alleviated by surgical ablation.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.116.004213","type":"journal-article","created":{"date-parts":[[2016,12,6]],"date-time":"2016-12-06T02:45:17Z","timestamp":1480992317000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":22,"title":["Impact of Surgical Ablation of Atrial Fibrillation on the Progression of Tricuspid Regurgitation and Right\u2010Sided Heart Remodeling After Mitral\u2010Valve Surgery: A Propensity\u2010Score Matching Analysis"],"prefix":"10.1161","volume":"5","author":[{"given":"Jiangang","family":"Wang","sequence":"first","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Han","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Li","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Ye","sequence":"additional","affiliation":[{"name":"First Hospital of Tsinghua University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Meng","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiange","family":"Luo","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baiyu","family":"Tian","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haibo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yixin","family":"Jia","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Zeng","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunlei","family":"Xu","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Han","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuqing","family":"Jiao","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Meng","sequence":"additional","affiliation":[{"name":"Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"crossref","first-page":"2718","DOI":"10.1161\/CIRCULATIONAHA.108.842773","article-title":"The tricuspid valve: current perspective and evolving management of tricuspid regurgitation","volume":"119","author":"Rogers JH","year":"2009","unstructured":"Rogers JH, Bolling SF. 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