Serum Troponin and Procedural Duration Predict Delayed iASD Closure After Left Atrial Arrhythmia Ablation
- 1College of Medicine, University of Baghdad, Bab Al-Muadham, Baghdad 10047, Iraq
- 2Leipzig Heart Center, 04289 Leipzig, Germany
- 3Research Department, Fondazione Paolo Procacci, 00193 Roma, Italy
Abstract
Background: Transseptal puncture is routinely performed to access the left atrium during catheter ablation of left atrial tachyarrhythmias. Although iatrogenic atrial septal defects (iASDs) frequently occur after the procedure, factors influencing delayed defect closure remain incompletely understood. Myocardial injury induced by radiofrequency (RF) ablation results in the release of cardiac troponin into the circulation and may reflect the extent of procedural tissue injury. Methods: This prospective study included patients who underwent RF ablation for left atrial arrhythmias at the Iraqi Center for Heart Diseases in collaboration with the College of medicine, University of Baghdad between March 2023 and April 2024. Serum troponin concentrations, procedural duration, and echocardiographic assessment of iASD size were evaluated prospectively to determine their association with delayed atrial septal defect closure over a period of 3–6 months. Results: Forty-seven patients were enrolled (mean age, 36.28 ± 10.34 years; 48.9% male). A significant positive association was observed between iASD size and serum troponin level (p < 0.001). For each unit increase in post-procedure troponin, the likelihood of ASD presence increases by more than two-fold at 3–6 months. Larger septal defects were also associated with longer procedural duration. Conclusions: Elevated serum troponin concentration following RF ablation is associated with larger iatrogenic atrial septal defects and may serve as a useful predictor of delayed iASD closure during the first six months of follow-up.
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BibTeX
@article{alalwany2026serum,
title = {{Serum Troponin and Procedural Duration Predict Delayed iASD Closure After Left Atrial Arrhythmia Ablation}},
author = {Ameen Abdulhasan Al-Alwany and Umniah Khajori and Mustafa Majid and Ghazi Farhan Haji and Giustino Varrassi},
journal = {Journal of Clinical Medicine},
year = {2026},
month = oct,
doi = {10.3390/jcm15218357},
url = {https://www.mdpi.com/2077-0383/15/21/8357},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Serum Troponin and Procedural Duration Predict Delayed iASD Closure After Left Atrial Arrhythmia Ablation
AU - Ameen Abdulhasan Al-Alwany
AU - Umniah Khajori
AU - Mustafa Majid
AU - Ghazi Farhan Haji
AU - Giustino Varrassi
PY - 2026
DA - 2026/10/27
JO - Journal of Clinical Medicine
DO - 10.3390/jcm15218357
UR - https://www.mdpi.com/2077-0383/15/21/8357
AB - Background: Transseptal puncture is routinely performed to access the left atrium during catheter ablation of left atrial tachyarrhythmias. Although iatrogenic atrial septal defects (iASDs) frequently occur after the procedure, factors influencing delayed defect closure remain incompletely understood. Myocardial injury induced by radiofrequency (RF) ablation results in the release of cardiac troponin into the circulation and may reflect the extent of procedural tissue injury. Methods: This prospective study included patients who underwent RF ablation for left atrial arrhythmias at the Iraqi Center for Heart Diseases in collaboration with the College of medicine, University of Baghdad between March 2023 and April 2024. Serum troponin concentrations, procedural duration, and echocardiographic assessment of iASD size were evaluated prospectively to determine their association with delayed atrial septal defect closure over a period of 3–6 months. Results: Forty-seven patients were enrolled (mean age, 36.28 ± 10.34 years; 48.9% male). A significant positive association was observed between iASD size and serum troponin level (p < 0.001). For each unit increase in post-procedure troponin, the likelihood of ASD presence increases by more than two-fold at 3–6 months. Larger septal defects were also associated with longer procedural duration. Conclusions: Elevated serum troponin concentration following RF ablation is associated with larger iatrogenic atrial septal defects and may serve as a useful predictor of delayed iASD closure during the first six months of follow-up.
SN - 2077-0383
ER -