Early Recurrence Is Reliable Predictor of Late Recurrence After Radiofrequency Catheter Ablation of Atrial Fibrillation
DC Field | Value | Language |
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dc.contributor.author | Kim, Y.G. | - |
dc.contributor.author | Boo, K.Y. | - |
dc.contributor.author | Choi, J.-I. | - |
dc.contributor.author | Choi, Y.Y. | - |
dc.contributor.author | Choi, H.Y. | - |
dc.contributor.author | Roh, S.-Y. | - |
dc.contributor.author | Shim, J. | - |
dc.contributor.author | Kim, J.S. | - |
dc.contributor.author | Kim, Y.-H. | - |
dc.date.accessioned | 2021-12-03T11:41:17Z | - |
dc.date.available | 2021-12-03T11:41:17Z | - |
dc.date.created | 2021-08-31 | - |
dc.date.issued | 2021-03 | - |
dc.identifier.issn | 2405-5018 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/129109 | - |
dc.description.abstract | Objectives: This study aimed to compare the risk of late recurrence in patients with and without early recurrence. Background: Early recurrence of atrial fibrillation (AF) or atrial tachycardia (AT) after radiofrequency catheter ablation (RFCA) in AF patients is known to be a transient phenomenon. The theoretical basis of the blanking period is based on such observations. However, the clinical implications of early recurrence need further validation. Methods: Consecutive RFCA cases in a tertiary hospital were analyzed. Early recurrence was defined as any AT or AF event occurring within 90-days post-RFCA. Early recurrence as AT and AF were also analyzed separately. Results: A total of 3,120 patients underwent RFCA. Early recurrence occurred in 751 patients (24.1%). Patients who experienced early recurrence had a larger left atrium, worse hemodynamics in the left atrial appendage, and a higher prevalence of nonparoxysmal AF and heart failure. Among patients who experienced early recurrence, 69.6% of patients eventually had late recurrence. Early recurrence was associated with a 4.3- and 3.6-fold increase in the risk of late recurrence after single and multiple procedures, respectively. After multivariate adjustment, early recurrence was an independent risk factor for late recurrence with 3.6- and 2.8-fold increase in the risk of late recurrence after single and multiple procedures, respectively. Early recurrence AT had a lower risk of late recurrence compared with early recurrence AF. Conclusions: Early recurrence was a reliable predictor for late recurrence. The clinical significance of the blanking period in the current guidelines may need to be revisited. © 2021 American College of Cardiology Foundation | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Inc. | - |
dc.title | Early Recurrence Is Reliable Predictor of Late Recurrence After Radiofrequency Catheter Ablation of Atrial Fibrillation | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, J.-I. | - |
dc.contributor.affiliatedAuthor | Shim, J. | - |
dc.identifier.doi | 10.1016/j.jacep.2020.09.029 | - |
dc.identifier.scopusid | 2-s2.0-85100606540 | - |
dc.identifier.wosid | 000629482200007 | - |
dc.identifier.bibliographicCitation | JACC: Clinical Electrophysiology, v.7, no.3, pp.343 - 351 | - |
dc.relation.isPartOf | JACC: Clinical Electrophysiology | - |
dc.citation.title | JACC: Clinical Electrophysiology | - |
dc.citation.volume | 7 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 343 | - |
dc.citation.endPage | 351 | - |
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 | FOLLOW-UP | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordAuthor | atrial fibrillation | - |
dc.subject.keywordAuthor | early recurrence | - |
dc.subject.keywordAuthor | late recurrence | - |
dc.subject.keywordAuthor | radiofrequency catheter ablation | - |
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