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Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter
AIM: Atrial fibrillation (AFib) is a major clinical issue and its occurrence is the main problem after catheter ablation of atrial flutter. The long-term occurrence of AFib after common atrial flutter ablation is still matter of debate as it may influence the therapeutic approach. So, the aim of our...
Autores principales: | , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Indian Pacing and Electrophysiology Group
2005
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1431601/ https://www.ncbi.nlm.nih.gov/pubmed/16943876 |
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author | Cade, Stéphane Sedighian, Shahine Agustin, Bortone Gervasoni, Richard Jean, Christophe Leclercq, Florence Grolleau, Robert Jean Luc, Pasquié |
author_facet | Cade, Stéphane Sedighian, Shahine Agustin, Bortone Gervasoni, Richard Jean, Christophe Leclercq, Florence Grolleau, Robert Jean Luc, Pasquié |
author_sort | Cade, Stéphane |
collection | PubMed |
description | AIM: Atrial fibrillation (AFib) is a major clinical issue and its occurrence is the main problem after catheter ablation of atrial flutter. The long-term occurrence of AFib after common atrial flutter ablation is still matter of debate as it may influence the therapeutic approach. So, the aim of our study was to analyze the determinants and the time course of AFib after radiofrequency catheter ablation of chronic common atrial flutter. METHODS AND RESULT: 89 consecutive patients (67.5 ± 12.0 yrs) underwent RF ablation of chronic common atrial flutter. 38.2 % had previous history of paroxysmal AFib. 51% had no underlying structural heart disease. Over a mean follow-up of 38 ± 13 months, the occurrence rate of AFib progressively increased up to 32.9% at the end of follow-up. The median occurrence time for AFib was 8 months. AFib occurrence was significantly associated with previous AFib history (P=0.01) but not with the presence of underlying heart disease (P=n.s.). Of particular interest, in our study, AFib never occurred in patients without previous AFib history. Palpitations after chronic common atrial flutter ablation was mostly related to AFib. CONCLUSION: In conclusion, after chronic common atrial flutter ablation, AFib incidence progressively increased over the follow-up in all patients. Patients with prior AFib history appeared to be a very high risk group. In these patients, closer monitoring is mandatory and the persistent risk of AFib recurrences may justify prolonged anticoagulation policy. |
format | Text |
id | pubmed-1431601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | Indian Pacing and Electrophysiology Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-14316012006-08-29 Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter Cade, Stéphane Sedighian, Shahine Agustin, Bortone Gervasoni, Richard Jean, Christophe Leclercq, Florence Grolleau, Robert Jean Luc, Pasquié Indian Pacing Electrophysiol J Original Articles AIM: Atrial fibrillation (AFib) is a major clinical issue and its occurrence is the main problem after catheter ablation of atrial flutter. The long-term occurrence of AFib after common atrial flutter ablation is still matter of debate as it may influence the therapeutic approach. So, the aim of our study was to analyze the determinants and the time course of AFib after radiofrequency catheter ablation of chronic common atrial flutter. METHODS AND RESULT: 89 consecutive patients (67.5 ± 12.0 yrs) underwent RF ablation of chronic common atrial flutter. 38.2 % had previous history of paroxysmal AFib. 51% had no underlying structural heart disease. Over a mean follow-up of 38 ± 13 months, the occurrence rate of AFib progressively increased up to 32.9% at the end of follow-up. The median occurrence time for AFib was 8 months. AFib occurrence was significantly associated with previous AFib history (P=0.01) but not with the presence of underlying heart disease (P=n.s.). Of particular interest, in our study, AFib never occurred in patients without previous AFib history. Palpitations after chronic common atrial flutter ablation was mostly related to AFib. CONCLUSION: In conclusion, after chronic common atrial flutter ablation, AFib incidence progressively increased over the follow-up in all patients. Patients with prior AFib history appeared to be a very high risk group. In these patients, closer monitoring is mandatory and the persistent risk of AFib recurrences may justify prolonged anticoagulation policy. Indian Pacing and Electrophysiology Group 2005-10-01 /pmc/articles/PMC1431601/ /pubmed/16943876 Text en Copyright: © 2005 Cade et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Cade, Stéphane Sedighian, Shahine Agustin, Bortone Gervasoni, Richard Jean, Christophe Leclercq, Florence Grolleau, Robert Jean Luc, Pasquié Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter |
title | Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter |
title_full | Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter |
title_fullStr | Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter |
title_full_unstemmed | Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter |
title_short | Atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter |
title_sort | atrial fibrillation and its determinants after radiofrequency ablation of chronic common atrial flutter |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1431601/ https://www.ncbi.nlm.nih.gov/pubmed/16943876 |
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