Is Pursuit of Termination of Atrial Fibrillation During Catheter Ablation of Great Value in Patients with Longstanding Persistent Atrial Fibrillation?
DC Field | Value | Language |
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dc.contributor.author | Park, Yae M. | - |
dc.contributor.author | Choi, Jong-Il | - |
dc.contributor.author | Lim, Hong E. | - |
dc.contributor.author | Park, Sang W. | - |
dc.contributor.author | Kim, Young-Hoon | - |
dc.date.accessioned | 2021-09-06T14:45:11Z | - |
dc.date.available | 2021-09-06T14:45:11Z | - |
dc.date.created | 2021-06-15 | - |
dc.date.issued | 2012-10 | - |
dc.identifier.issn | 1045-3873 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/107249 | - |
dc.description.abstract | Termination of Atrial Fibrillation During Catheter Ablation Predicts Better Outcome. Background: The reliable endpoint for ablation of longstanding persistent atrial fibrillation (LPAF) has not been clearly established. Methods and Results: This study included 140 patients who underwent catheter ablation for drug-refractory LPAF. A stepwise ablation approach included circumferential pulmonary vein isolation followed by left atrial and right atrial complex fractionated electrogram-guided ablation. Atrial fibrillation (AF) was terminated by radiofrequency application during catheter ablation in 95 patients (67.9%). Among them, 33 patients (23.6%) converted to sinus rhythm directly, whereas 62 patients (44.3%) via atrial tachycardias (ATs). Patients in whom AF terminated during the index procedure had a lower recurrence rate of atrial arrhythmia than patients in whom AF did not terminate (45.3% vs 68.9%, P = 0.009, follow-up 18.7 +/- 7.6 months). Among patients in whom AF terminated, there was no significant difference in recurrence rate according to the termination mode, whether converted to AT or not (P = NS). However, patients who converted to AT had a higher recurrence rate of AT (54.8% vs 81%; P = 0.016). Multivariable logistic regression analysis demonstrated that termination of AF during ablation (HR 0.440; 95% CI: 0.2000.969, P = 0.041) and structural heart disease (HR 2.633; 95% CI: 1.2115.723; P = 0.015) were significant independent factors predicting the recurrence of atrial arrhythmia. Conclusions: Termination of AF during catheter ablation is associated with a better clinical outcome in patients with LPAF. (J Cardiovasc Electrophysiol, Vol. 23 pp. 1051-1058, October 2012) | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.subject | PULMONARY VEIN ISOLATION | - |
dc.subject | PROCEDURAL END-POINT | - |
dc.subject | TERM-FOLLOW-UP | - |
dc.subject | CLINICAL PREDICTORS | - |
dc.subject | COMPUTED-TOMOGRAPHY | - |
dc.subject | POST-PVAI | - |
dc.subject | ELECTROGRAMS | - |
dc.subject | RECURRENCE | - |
dc.subject | VOLUME | - |
dc.subject | SUBSTRATE | - |
dc.title | Is Pursuit of Termination of Atrial Fibrillation During Catheter Ablation of Great Value in Patients with Longstanding Persistent Atrial Fibrillation? | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Jong-Il | - |
dc.contributor.affiliatedAuthor | Lim, Hong E. | - |
dc.contributor.affiliatedAuthor | Kim, Young-Hoon | - |
dc.identifier.doi | 10.1111/j.1540-8167.2012.02370.x | - |
dc.identifier.scopusid | 2-s2.0-84867742762 | - |
dc.identifier.wosid | 000310339600006 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, v.23, no.10, pp.1051 - 1058 | - |
dc.relation.isPartOf | JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | - |
dc.citation.title | JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | - |
dc.citation.volume | 23 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1051 | - |
dc.citation.endPage | 1058 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | PULMONARY VEIN ISOLATION | - |
dc.subject.keywordPlus | PROCEDURAL END-POINT | - |
dc.subject.keywordPlus | TERM-FOLLOW-UP | - |
dc.subject.keywordPlus | CLINICAL PREDICTORS | - |
dc.subject.keywordPlus | COMPUTED-TOMOGRAPHY | - |
dc.subject.keywordPlus | POST-PVAI | - |
dc.subject.keywordPlus | ELECTROGRAMS | - |
dc.subject.keywordPlus | RECURRENCE | - |
dc.subject.keywordPlus | VOLUME | - |
dc.subject.keywordPlus | SUBSTRATE | - |
dc.subject.keywordAuthor | atrial tachycardia | - |
dc.subject.keywordAuthor | catheter ablation | - |
dc.subject.keywordAuthor | complex fractionated atrial electrograms | - |
dc.subject.keywordAuthor | left atrial flutter | - |
dc.subject.keywordAuthor | persistent atrial fibrillation | - |
dc.subject.keywordAuthor | pulmonary vein isolation | - |
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