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- Title
Clinical Significance of Early Recurrences of Atrial Tachycardia After Atrial Fibrillation Ablation.
- Authors
CHOI, JONG‐IL; PAK, HUI‐NAM; PARK, JAE SEOK; KWAK, JAE JIN; NAGAMOTO, YASUTSUGU; LIM, HONG EUY; PARK, SANG WEON; HWANG, CHUN; KIM, YOUNG‐HOON
- Abstract
Background: Atrial tachycardia (AT) commonly recurs within 3 months after radiofrequency catheter ablation for atrial fibrillation (AF). However, it remains unclear whether early recurrence of atrial tachycardia (ERAT) predicts late recurrence of AF or AT. Methods: Of 352 consecutive patients who underwent circumferential pulmonary vein isolation with or without linear ablation(s) for AF, 56 patients (15.9%) with ERAT were identified by retrospective analysis. ERAT was defined as early relapse of AT within a 3-month blanking period after ablation. Results: During 21.7 ± 12.5 months, the rate of late recurrence was higher in patients with ERAT (41.1%) compared with those without ERAT (11.8%, P < 0.001). In a multivariable model, positive inducibility of AF or AT immediately after ablation (65.2% vs 36.4%, P = 0.046; odd ratio, 3.9; 95% confidence interval, 1.0-14.6) and the number of patients who underwent cavotricuspid isthmus (CTI) ablation (73.9% vs 42.4%, P = 0.042; odd ratio, 4.5; 95% confidence interval, 1.1-19.5) were significantly related to late recurrence in the ERAT group. The duration of ablation (174.3 ± 62.3 vs 114.7 ± 39.5 minutes, P = 0.046) and the procedure time (329.3 ± 83.4 vs 279.2 ± 79.7 minutes, P = 0.027) were significantly longer in patients with late recurrence than in those without late recurrence following ERAT. Conclusions: The late recurrence rate is higher in the patients with ERAT compared with those without ERAT following AF ablation, and is more often noted in the patients who underwent CTI ablation and had a prolonged procedure time. Furthermore, inducibility of AF or AT immediately after ablation independently predicts late recurrence in patients with ERAT. (J Cardiovasc Electrophysiol, Vol. 21, pp. 1331-1337, December 2010)
- Subjects
ATRIAL fibrillation; CARDIAC surgery; PULMONARY veins; ANALYSIS of variance; CATHETER ablation; CHI-squared test; COMPUTER software; CONFIDENCE intervals; EPIDEMIOLOGY; FISHER exact test; HEART atrium; EVALUATION of medical care; SURVIVAL analysis (Biometry); T-test (Statistics); TACHYCARDIA; TIME; DISEASE relapse; LOGISTIC regression analysis; DATA analysis; TREATMENT effectiveness; RETROSPECTIVE studies; ETIOLOGY of diseases; CARDIOVASCULAR diseases risk factors; PATHOLOGICAL physiology; SURGERY
- Publication
Journal of Cardiovascular Electrophysiology, 2010, Vol 21, Issue 12, p1331
- ISSN
1045-3873
- Publication type
Academic Journal
- DOI
10.1111/j.1540-8167.2010.01831.x