Abstract
The aim of the present study was to evaluate the effects of sinus rhythm recovery on long-term survival after radiofrequency (RF) ablation in patients with permanent atrial fibrillation (AF) undergoing surgery for mitral valve disease. This study included 173 consecutive patients (101 men and 72 women, age 67 ± 9 years) with AF and mitral valve disease who underwent RF ablation procedure associated with mitral valve surgery. Four patients died during hospitalization. At the 6-year follow-up, sinus rhythm was present in 68% of the surviving patients. Thirty-nine patients remained in persistent AF after hospital discharge. In patients with stable sinus rhythm, mortality (10 vs. 30%) and recurrent hospitalization were significantly lower than in patients with persistent AF, but functional capacity improved. The incidence of stroke was also lower in patients with stable sinus rhythm. A pre-operative higher right and left atrial area, pulmonary hypertension, and rheumatic disease were associated with the persistence of AF despite RF ablation. At multivariate analysis, only age and concomitant tricuspid valve repair were independently associated with mortality, whereas the right atria area and tricuspid valve repair were associated w...Continue Reading
References
Oct 1, 1993·The Annals of Thoracic Surgery·J L CoxD G Lappas
Jul 1, 1998·The Annals of Thoracic Surgery·M C ChenM Fu
Apr 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E RaananiS Armstrong
Jun 29, 2001·The Annals of Thoracic Surgery·M R WilliamsM C Oz
Aug 2, 2001·The Journal of Thoracic and Cardiovascular Surgery·H T SieH J Wellens
Sep 25, 2001·Circulation·E LimF C Wells
Oct 1, 2004·The Journal of Thoracic and Cardiovascular Surgery·Sydney L GaynorRalph J Damiano
Oct 13, 2004·Circulation·Steven J KernisMaurice Enriquez-Sarano
Sep 7, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·James T Reston, Jeffrey H Shuhaiber
Oct 26, 2006·The Annals of Thoracic Surgery·James W W Wong, Koon-Hou Mak
Jun 30, 2007·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·Hugh CalkinsUNKNOWN Society of Thoracic Surgeons
Jul 25, 2007·Herzschrittmachertherapie & Elektrophysiologie·K KhargiT Deneke
Jul 28, 2009·Nature Reviews. Cardiology·Richard LeePatrick M McCarthy
Feb 5, 2010·Acta Cardiologica·Yong-xin ZhouGérard Fournial
Mar 6, 2012·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·Hugh CalkinsDavid Wilber
Oct 1, 2013·The Journal of Thoracic and Cardiovascular Surgery·Niv AdLinda Henry
Nov 5, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Ralph J DamianoThoralf M Sundt
Mar 4, 2014·Asian Cardiovascular & Thoracic Annals·Farouk OueidaKhalid Eskander
Sep 14, 2014·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Shruti SharmaRuma Ray
Apr 9, 2015·The New England Journal of Medicine·A Marc GillinovUNKNOWN CTSN Investigators
Jan 2, 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·Sandro GelsominoJos G Maessen