Abstract
Arrhythmia recurrences after catheter ablation of atrial fibrillation (AF) cause intensive treatment costs. Left atrial electro-anatomical remodeling measured as low voltage areas (LVA) during catheter ablation indicates advanced disease stage and is associated with poor ablation success. The aim of this study was to analyze the prediction of LVA and arrhythmia recurrences using APPLE, DR-FLASH and MB-LATER scores. APPLE, DR-FLASH scores were calculated at baseline and MB-LATER at 3 months post-ablation in AF patients undergoing first catheter ablation. LVA was determined using high-density maps and defined as <0.5 mV. Early (ERAF, <3 months) and late (LRAF, 3-12 months) were analyzed during follow-up. The study population included 241 patients (age 64 ± 11 years, 59% males, 59% persistent AF, 27% LVA, 27% LRAF). LVA were significantly associated with recurrences (OR 2.081, p = 0.026). While on univariable analysis, all scores were significantly associated with LVA, on multivariable analysis only APPLE (OR 1.789, p < 0.001) and DR-FLASH (OR 2.144, p < 0.001) remained significant predictors. However, MB-LATER (OR 1.445, p = 0.034) and ERAF (OR 5.078, p < 0.001) remained associated with LRAF on the multivariable analysis. These r...Continue Reading
References
May 15, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Dennis H LauPrashanthan Sanders
Jul 23, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Tze-Fan ChaoShih-Ann Chen
Nov 16, 2011·Circulation·Yu-ki IwasakiStanley Nattel
May 26, 2012·International Journal of Cardiology·F D'AscenzoF Gaita
Feb 5, 2013·Journal of Cardiovascular Electrophysiology·Mehmet AkkayaNassir Marrouche
Jun 14, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Maciej WójcikThomas Neumann
Jul 3, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Konstantinos P LetsasAntonios Sideris
Sep 26, 2013·International Journal of Cardiology·Uğur CanpolatAli Oto
Dec 3, 2013·JACC. Cardiovascular Imaging·Tomas G NeilanRaymond Y Kwong
Feb 6, 2014·JAMA : the Journal of the American Medical Association·Nassir F MarroucheJohannes Brachmann
Mar 13, 2014·Circulation. Arrhythmia and Electrophysiology·Jelena KornejAndreas Bollmann
May 17, 2014·Circulation. Arrhythmia and Electrophysiology·Borislav DinovSascha Rolf
Aug 26, 2014·Circulation. Arrhythmia and Electrophysiology·Sascha RolfChristopher Piorkowski
Apr 17, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Jelena KornejAndreas Bollmann
Jul 7, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Jedrzej KosiukSascha Rolf
Oct 26, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Roger A WinkleRob A Patrawala
Nov 4, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Paulus KirchhofKatja Zeppenfeld
Jan 6, 2017·Pacing and Clinical Electrophysiology : PACE·Alessandro BlandinoFrancesco Rametta
Jan 14, 2017·PloS One·Jelena KornejAndreas Bollmann
Jan 21, 2017·Scientific Reports·Nebojša MujovićTatjana S Potpara
Apr 8, 2017·Journal of Cardiovascular Electrophysiology·Atsuhiko YagishitaMauricio Arruda
Jun 13, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Yan HuoChristopher Piorkowski
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·João MesquitaPedro Adragão
Nov 28, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Simon KircherGerhard Hindricks
Apr 1, 2018·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Petra BüttnerJelena Kornej
Jun 13, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jelena KornejGerhard Hindricks
Citations
Dec 24, 2018·Clinical Cardiology·Falco KosichJelena Kornej
May 10, 2019·Scientific Reports·Jelena KornejGerhard Hindricks
Sep 11, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jelena KornejGerhard Hindricks
Feb 13, 2020·Journal of Cardiovascular Electrophysiology·Gabriele D'AmbrosioJ Christoph Geller
May 29, 2020·Clinical Cardiology·Timm SeewösterJelena Kornej
Aug 30, 2020·European Heart Journal·Gerhard HindricksUNKNOWN ESC Scientific Document Group
Apr 1, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Janine DretzkeYemisi Takwoingi
Jun 17, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jens Cosedis NielsenChristophe Leclercq
Aug 13, 2020·Journal of Arrhythmia·Jens Cosedis NielsenChristophe Leclercq
Jul 9, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Makoto SanoRoland Richard Tilz
Oct 9, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Anja SchadeVioleta Mattea
Nov 4, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Ahmed M Al-KaiseyJonathan M Kalman
Dec 7, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Timm SeewösterJelena Kornej
May 29, 2021·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·S I SazonovaA B Romanov
Jun 2, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Anna NumminenJussi Hernesniemi
Jul 25, 2021·Journal of Clinical Medicine·Néfissa HammacheChristian de Chillou
Jan 11, 2022·Herzschrittmachertherapie & Elektrophysiologie·Nico ErhardThomas Fink
Jan 21, 2022·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Peng ZhangQing Zhao