Triggering pulmonary veins: a paradoxical predictor for atrial fibrillation recurrence after PV isolation

Journal of Cardiovascular Electrophysiology
Yves De GreefMattias Duytschaever

Abstract

To identify procedural parameters predicting recurrence of atrial fibrillation (AF) after a first circumferential pulmonary vein isolation (CPVI). One hundred seventy-one patients undergoing CARTO-guided CPVI for recurrent AF with a left atrial (LA) diameter <45 mm were studied. Follow-up (symptoms and 7-day Holter) was performed at 1 and 3 months and every 3 months thereafter. Clinical and procedural characteristics between successful patients and patients undergoing repeat ablation were compared. In addition, procedural parameters of the first procedure were compared with parameters during repeat ablation. After first CPVI, 80% of patients were free of AF without antiarrhythmic drugs after a follow-up (FU) of 28 +/- 11 months (N = 136). Thirty-five patients (20%) had recurrence of AF of which 25 underwent repeat ablation (N = 25). Clinical characteristics did not differ between the successful and repeat group. A triggering vein during the index procedure was significantly more observed in the repeat group (56% vs 11%, P < 0.001). At repeat ablation, 2.6 +/- 1.2 veins per patient were reconnected. Whereas there was no preferential reconnecting PV, all PVs triggering at index were reconnected (100%). (1) In patients with sympto...Continue Reading

References

May 6, 1998·Pediatric Cardiology·J E dos Santos
Sep 3, 1998·The New England Journal of Medicine·M HaïssaguerreJ Clémenty
Aug 3, 2002·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Teiichi YamaneMichel Haïssaguerre
Jun 4, 2004·Journal of Cardiovascular Electrophysiology·Chandrasekhar R VasamreddyHugh Calkins
Mar 15, 2005·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·Paolo Della BellaGiuseppe Maccabelli
Apr 27, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Kristina LemolaHakan Oral
Apr 22, 2006·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·Takumi YamadaToyoaki Murohara
Sep 2, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·William H SauerFrancis E Marchlinski
Oct 5, 2006·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Aamir CheemaHugh Calkins
Apr 26, 2007·Journal of Cardiovascular Electrophysiology·Andrea NataleAtul Verma
Feb 22, 2008·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 KatritsisKenneth A Ellenbogen
Mar 26, 2008·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Demosthenes KatritsisA John Camm
Mar 28, 2008·Journal of Cardiovascular Electrophysiology·Eugene PattersonSunny Po
Oct 22, 2008·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·Stefan KetelsMattias Duytschaever
Oct 23, 2008·Journal of the American College of Cardiology·Ermengol VallesFrancis E Marchlinski
Dec 11, 2008·Pacing and Clinical Electrophysiology : PACE·Kim RajappanRichard J Schilling

❮ Previous
Next ❯

Citations

Jan 1, 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·Mattias DuytschaeverPeter Kistler
Nov 1, 2012·Journal of Cardiovascular Electrophysiology·Yves De GreefMattias Duytschaever
Nov 16, 2011·Journal of Cardiovascular Electrophysiology·Robert C Kowal
Sep 10, 2014·Journal of Cardiovascular Electrophysiology·Lorne J Gula, Allan C Skanes
Aug 6, 2014·Journal of Cardiovascular Electrophysiology·Alessandra BuiattiIsabel Deisenhofer
Jan 3, 2015·Journal of cardiology·Songwen ChenShaowen Liu
Jan 10, 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·Thomas PhlipsMattias Duytschaever
Mar 12, 2017·Heart and Vessels·Kenichiro YamagataKazuhiro Satomi
Mar 25, 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·Y De GreefI Buysschaert

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Anti-Arrhythmic Drug Therapies

Anti-arrhythmic drugs are used to prevent abnormal heart rhythms. These medications are used in conditions including, ventricular tachycardia, ventricular fibrillation and atrial fibrillation. Discover the latest research on anti-arrhythmic drug therapies here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Antiarrhythmic Agents: Mechanisms of Action

Understanding the mechanism of action of antiarrhythmic agents is essential in developing new medications as treatment of cardiac arrhythmias is currently limited by the reduced availability of safe and effective drugs. Discover the latest research on Antiarrhythmic Agents: Mechanism of Action here.

Related Papers

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 KatritsisKenneth A Ellenbogen
© 2022 Meta ULC. All rights reserved