Article
Cardiac & Cardiovascular Systems
Luigi Pannone, Sahar Mouram, Domenico Giovanni Della Rocca, Antonio Sorgente, Cinzia Monaco, Alvise Del Monte, Anais Gauthey, Antonio Bisignani, Rani Kronenberger, Gaetano Paparella, Robbert Ramak, Ingrid Overeinder, Gezim Bala, Alexandre Almorad, Erwin Stroker, Juan Sieira, Pedro Brugada, Gian Battista Chierchia, Mark La Meir, Carlo de Asmundis
Summary: The study aims to evaluate the long-term outcomes of hybrid AF ablation in a large cohort of patients. The results showed that the recurrence rate of atrial tachyarrhythmias was 47.5% after approximately 5 years of follow-up. There was no difference in clinical outcomes between patients undergoing hybrid AF ablation as first procedure or as a redo.
Article
Multidisciplinary Sciences
Hao-Tien Liu, Chia-Hung Yang, Hui-Ling Lee, Po-Cheng Chang, Hung-Ta Wo, Ming-Shien Wen, Chun-Chieh Wang, San-Jou Yeh, Chung-Chuan Chou
Summary: Retrospective study found that LVA-guided LA linear ablation provides better clinical outcomes than non-LVA guided ablation in patients with non-paroxysmal atrial fibrillation, outweighing potential harmful effects.
Article
Cardiac & Cardiovascular Systems
Andrew S. Tseng, Harsh P. Patel, Ashish Kumar, Chinmay Jani, Kirtenkumar Patel, Rahul Jaswaney, Samarthkumar Thakkar, Narayan G. Kowlgi, Sourbha S. Dani, Shilpkumar Arora, Siva K. Mulpuru, Malini Madhavan, Ammar M. Killu, Yong-Mei Cha, Christopher V. DeSimone, Abhishek Deshmukh
Summary: Based on an analysis of nationwide hospitalized patient data, catheter ablation was found to be associated with a reduction in one-year readmission for atrial fibrillation and all-cause readmissions among younger patients aged 18 to 50.
BMC CARDIOVASCULAR DISORDERS
(2023)
Article
Cardiac & Cardiovascular Systems
Tsung-Ying Tsai, Li-Wei Lo, Wen-Han Cheng, Shin-Huei Liu, Yenn-Jiang Lin, Shih-Lin Chang, Yu-Feng Hu, Fa-Po Chung, Jo-Nan Liao, Ta-Chuan Tuan, Tze-Fan Chao, Chin-Yu Lin, Ting-Yung Chang, Chih-Min Liu, Chhay Chheng, Dony Yugo Hermanto, Ton Nukhank An, Ahmed Moustafa Moustafa Elimam, Ting-Chun Huang, Po-Tseng Lee, Cheng-Hung Lee, Shih-Ann Chen
Summary: This study investigated the 10-year outcomes of radiofrequency catheter ablation (RFCA) in patients with non-paroxysmal atrial fibrillation (AF). It was found that single RFCA procedure had unsatisfactory results, and multiple procedures were required for adequate rhythm control. Enlarged left atrium, presence of non-pulmonary vein triggers, and undergoing complex fractionated atrial electrogram (CFAE) ablation were independent predictors for recurrent atrial tachyarrhythmia after a single procedure.
CIRCULATION JOURNAL
(2023)
Article
Cardiac & Cardiovascular Systems
Ling You, Xiaohong Zhang, Jing Yang, Lianxia Wang, Yan Zhang, Ruiqin Xie
Summary: This study compared the long-term recurrence rates of paroxysmal atrial fibrillation treated by radiofrequency ablation, cryoablation, and three-dimensional guided cryoablation plus radiofrequency ablation, revealing no statistically significant difference among the three groups. The preoperative left atrial appendage emptying velocity and left atrial dimensions were found to be predictive factors for postoperative recurrence of atrial fibrillation.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Medicine, General & Internal
R. Wesselink, J. Neefs, N. W. E. van den Berg, E. R. Meulendijks, M. M. Terpstra, M. Kawasaki, F. A. Nariswari, F. R. Piersma, W. J. P. van Boven, A. H. G. Driessen, J. R. de Groot
Summary: This study found an association between left atrial epicardial conduction time (LAECT), fibrosis, and atrial fibrillation (AF) recurrence after surgical ablation of persistent AF. Patients with longer LAECT were more likely to experience AF recurrence, while patients with shorter LAECT had higher collagen fiber density.
Article
Psychiatry
Lei Ren, Wenjun Li, Xin Su, Yangyang Yang, Yuanzhuo Zhang, Xiaozhu Liu, Guangquan Hu, Bin Ning
Summary: Depression is an important factor affecting the early recurrence of patients with AF after radio-frequency ablation, and it is associated with age, disease course, BMI, left atrial diameter, blood inflammatory indicators, and SDS score.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Cardiac & Cardiovascular Systems
Federico T. Magni, Meelad I. H. Al-Jazairi, Bart A. Mulder, Theo Klinkenberg, Isabelle C. Van Gelder, Michiel Rienstra, Massimo A. Mariani, Yuri Blaauw
Summary: This study evaluated the efficacy and safety of first-time single-stage hybrid ablation for persistent atrial fibrillation over a 2-year follow-up period. The results showed that this treatment strategy is effective with an acceptable rate of major complications. Recurrences were mainly ATs/AFLs, which could be successfully treated with repeat ablation.
Article
Medicine, General & Internal
Gregory F. Michaud, William G. Stevenson
Summary: A 63-year-old healthy male with atrial fibrillation presents with symptoms of dyspnea and irregular heartbeat. Physical examination reveals high blood pressure, irregular pulse, and ECG confirms atrial fibrillation. Further evaluation and treatment plan are needed.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Letter
Medicine, General & Internal
Isaac W. Leon-acuna, Takeki Suzuki
Summary: Andrade et al. found that initial catheter cryoballoon ablation strategy resulted in lower incidence of persistent atrial fibrillation and lower arrhythmia burden compared to antiarrhythmic drug therapy in patients with paroxysmal atrial fibrillation during 3 years of follow-up. The study builds upon the findings of the EARLY-AF trial and the STOP AF First trial. Due to the relatively small sample size (303 patients) and short follow-up period, it may be difficult to detect mortality benefits of cryoballoon ablation.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Jonathan P. Piccini, Anders Ahlsson, Paul Dorian, Marc A. Gillinov, Peter R. Kowey, Michael J. Mack, Carmelo A. Milano, Louis P. Perrault, Jonathan S. Steinberg, Nathan H. Waldron, Lawrence M. Adams, David B. Bharucha, Mitchell F. Brin, William G. Ferguson, Stefano Benussi
Summary: This study aims to evaluate the effectiveness of botulinum toxin type A in preventing post-operative atrial fibrillation (POAF) in cardiac surgery patients. The study will involve one-time injections of the drug or placebo, followed by continuous ECG monitoring to assess efficacy. The results of this study will provide important treatment options for preventing POAF in patients undergoing cardiac surgery.
AMERICAN HEART JOURNAL
(2022)
Article
Cardiac & Cardiovascular Systems
Mohit K. Turagam, Petr Neuzil, Boris Schmidt, Tobias Reichlin, Kars Neven, Andreas Metzner, Jim Hansen, Yuri Blaauw, Philippe Maury, Thomas Arentz, Philipp Sommer, Ante Anic, Frederic Anselme, Serge Boveda, Tom Deneke, Stephan Willems, Pepijn van der Voort, Roland Tilz, Moritoshi Funasako, Daniel Scherr, Reza Wakili, Daniel Steven, Josef Kautzner, Johan Vijgen, Pierre Jais, Jan Petru, Julian Chun, Laurent Roten, Anna Fueting, Marc D. Lemoine, Martin Ruwald, Bart A. Mulder, Anne Rollin, Heiko Lehrmann, Thomas Fink, Zrinka Jurisic, Corentin Chaumont, Raquel Adelino, Karin Nentwich, Melanie Gunawardene, Alexandre Ouss, Christian-Hendrik Heeger, Martin Manninger, Jan-Eric Bohnen, Arian Sultan, Petr Peichl, Pieter Koopman, Nicolas Derval, Thomas Kueffer, Gilbert Rahe, Vivek Y. Reddy
Summary: Pulsed field ablation is a novel nonthermal cardiac ablation modality that uses ultra-rapid electrical pulses to cause cell death. Its safety and effectiveness in clinical care are still unknown.
Article
Physiology
Jae-Hyuk Lee, Oh-Seok Kwon, Hee Tae Yu, Tae-Hoon Kim, Jae-Sun Uhm, Boyoung Joung, Moon-Hyoung Lee, Hui-Nam Pak
Summary: Catheter ablation is an effective method for treating atrial fibrillation, but it may lead to atrial tissue damage and increase the risk of stiff LA physiology. Factors such as diabetes, E/Em ratio, LA pulse pressure, low LA voltage, empirical extra-PV ablation, and radiofrequency ablation duration are associated with stiff LA physiology after AFCA.
FRONTIERS IN PHYSIOLOGY
(2021)
Review
Medicine, General & Internal
Michael Derndorfer, Shaojie Chen, Helmut Puererfellner
Summary: Atrial fibrillation (AF) and heart failure (HF) are closely linked, with successful treatment of one potentially benefiting the other; adherence to guidelines is crucial, with AF patients potentially benefiting from ablation and HF patients having alternative treatment options depending on their LVEF levels.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Roger A. Winkle, Hardwin Mead, Gregory Engel, Jonathan Salcedo, Chad Brodt, Patricia Barberini, Cynthia Lebsack, Melissa H. Kong, Shadi Kalantarian, Rob A. Patrawala
Summary: This study evaluated the long-term outcomes of AF ablation, showing that radiofrequency ablation had better efficacy for paroxysmal and persistent AF, but poorer efficacy for long-standing AF.
