Proarrhythmia of circumferential left atrial lesions for management of atrial fibrillation

Journal of Cardiovascular Electrophysiology
Emile G DaoudKathy Bowman

Abstract

After circumferential ablation for atrial fibrillation, new onset left atrial flutter (LA Flr) may occur. This study assessed the relationship between induced and clinical episodes of LA Flr, the rate of spontaneous resolution of LA Flr, and the proarrhythmic effect of circumferential ablation. A total 112 patients underwent circumferential LA ablation for atrial fibrillation. Immediately after completion of the ablation, LA Flr was induced in 43 of 112 (38%) patients, but was not targeted for ablation. During follow-up (14 +/- 4 months), new onset LA Flr occurred in 28 of 112 (25%) patients; however, the presence of inducible LA Flr did not identify those patients with clinical LA Flr (P = 0.6). In comparison to episodes of atrial fibrillation occurring before circumferential ablation, LA Flr was associated with a faster ventricular rate (124 +/- 19 beats/min vs 91 +/- 16 beats/min, P < 0.001), and was more likely to be persistent requiring cardioversion (86% vs 32%, P = 0.01). By >or=4 months postcircumferential ablation, clinical LA Flr resolved in 18 of 28 patients (64%). A second ablation procedure for LA Flr was performed in 9 of 10 patients. Of the 17 morphologies, 16 (94%) LA Flr circuits were successfully ablated. (1) ...Continue Reading

References

Sep 3, 1998·The New England Journal of Medicine·M HaïssaguerreJ Clémenty
Apr 21, 1999·Journal of Cardiovascular Electrophysiology·E G DaoudJ D Hummel
Jun 28, 2000·Circulation·P JaïsJ Clémenty
Sep 28, 2001·Journal of Cardiovascular Electrophysiology·A KasaiN Saoudi
Feb 15, 2002·Journal of Cardiovascular Electrophysiology·Marius VolkmerKarl-Heinz Kuck
Jul 24, 2002·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·Bella P DellaC Carbucicchio
Dec 31, 2002·The American Journal of Cardiology·David O'DonnellJohn P Bourke
May 14, 2003·Journal of Cardiovascular Electrophysiology·Julián VillacastínRosa González
May 27, 2003·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Alborz HassankhaniGregory K Feld
Jun 26, 2003·Pacing and Clinical Electrophysiology : PACE·Hiroshi TadaFred Morady
Jun 26, 2003·Pacing and Clinical Electrophysiology : PACE·Hakan OralFred Morady
Aug 22, 2003·Journal of Cardiovascular Electrophysiology·Hung-Fat Tse, Chu-Pak Lau
Oct 3, 2003·Journal of the American College of Cardiology·Sabine ErnstKarl-Heinz Kuck
Dec 18, 2003·Journal of Cardiovascular Electrophysiology·Hakan OralFred Morady
May 12, 2004·Circulation·Nassir F MarroucheMelvin M Scheinman
Sep 9, 2004·Circulation·Edward P GerstenfeldFrancis E Marchlinski
Oct 16, 2004·Journal of Cardiovascular Electrophysiology·Carlo Pappone, Vincenzo Santinelli
Mar 1, 2005·Journal of the American College of Cardiology·Fethi KilicaslanAndrea Natale

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Citations

Sep 23, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Andrew Robertson GavinAndrew D McGavigan
Feb 15, 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·Francisco G Cosio
Apr 8, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Yasutsugu NagamotoNaohiko Takahashi
Apr 10, 2010·Cardiology Research and Practice·Ashok J ShahMichel Haissaguerre
Dec 3, 2014·Cardiology Clinics·Dilesh Patel, Emile G Daoud
Oct 30, 2012·Lancet·Geoffrey LeeJonathan M Kalman
Oct 5, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Raymond W SyAllan C Skanes
Mar 13, 2016·Heart Failure Clinics·Dilesh Patel, Emile G Daoud
Mar 11, 2009·Pacing and Clinical Electrophysiology : PACE·George D VeenhuyzenMichel Haïssaguerre
Oct 9, 2007·Journal of Cardiovascular Electrophysiology·James H McClellandRamakota Reddy
Apr 26, 2007·Journal of Cardiovascular Electrophysiology·Andrea NataleAtul Verma
Sep 8, 2012·Journal of Cardiovascular Electrophysiology·Antonio RavieleUNKNOWN Venice Chart
Jun 4, 2011·Journal of Cardiovascular Electrophysiology·Patrick M HeckPeter M Kistler
Jan 22, 2011·Pacing and Clinical Electrophysiology : PACE·Xinhua WangLi Zhou
Dec 17, 2010·Journal of Cardiovascular Electrophysiology·Francisco G Cosío
Jan 7, 2010·Journal of Cardiovascular Electrophysiology·Stylianos TzeisIsabel Deisenhofer
Sep 24, 2015·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Hideyuki HaraMasahiro Karakawa
Oct 30, 2007·Journal of the American College of Cardiology·James P Daubert
Jan 20, 2015·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Justo JuliáPedro Brugada
Apr 26, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Sohail ZahidNatalia A Trayanova
Aug 2, 2016·Pacing and Clinical Electrophysiology : PACE·Akinori MatsumotoAtsushi Kono
Nov 20, 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·Demosthenes G KatritsisJack Rickard
Jul 4, 2007·Expert Review of Cardiovascular Therapy·Emile G Daoud
Nov 27, 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·Joe B HakimPatrick M Boyle
Dec 25, 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·Patrick M BoyleNatalia A Trayanova
Jan 18, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·J C BaltL V A Boersma
Feb 14, 2019·International Journal of Cardiology·Konstantinos N AronisNatalia A Trayanova

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