Long‐Term Monitoring of Patients With Persistent Atrial Fibrillation After Pulsed Field Ablation.

Most studies have followed patients with persistent atrial fibrillation (PeAF) using 12‐lead or 24‐h Holter electrocardiography, but this may overestimate the effectiveness of pulsed field ablation (PFA) in the treatment of PeAF. This study aimed to investigate the feasibility of PFA in patients wit...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 48; no. 5; pp. 547 - 557
Autores principales: Li, Wentao, Hu, Xianjin, Li, Fanghui, Tong, Yao, Gong, Aobo, Cao, Ying, Li, Zexi, Cao, Wenzhai, Zhang, Dayong, Xu, Min, Dan, Xuechuan, Li, Kui, Yue, Rongzheng, Cui, Kaijun, Hu, Hongde, Fu, Hua, Zeng, Rui
Formato: pictorial research tables/charts tracings Journal Article
Publicado: Wiley-Blackwell May2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Long‐Term Monitoring of Patients With Persistent Atrial Fibrillation After Pulsed Field Ablation.
      aug:
        au:
          Li, Wentao
          Hu, Xianjin
          Li, Fanghui
          Tong, Yao
          Gong, Aobo
          Cao, Ying
          Li, Zexi
          Cao, Wenzhai
          Zhang, Dayong
          Xu, Min
          Dan, Xuechuan
          Li, Kui
          Yue, Rongzheng
          Cui, Kaijun
          Hu, Hongde
          Fu, Hua
          Zeng, Rui
        affil: Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China
      sug:
        subj:
          Monitoring, Physiologic
          Atrial Fibrillation Surgery
          Catheter Ablation
          Electrocardiography, Ambulatory
          Human
          Quality of Life
          Multicenter Studies
          Prospective Studies
          Academic Medical Centers China
          China
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Funding Source
          Vena Cava, Superior Surgery
          Pulmonary Veins Surgery
          Arrhythmia, Atrial
          Nonexperimental Studies
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Most studies have followed patients with persistent atrial fibrillation (PeAF) using 12‐lead or 24‐h Holter electrocardiography, but this may overestimate the effectiveness of pulsed field ablation (PFA) in the treatment of PeAF. This study aimed to investigate the feasibility of PFA in patients with PeAF and follow‐up using insertable cardiac monitoring that can provide information on the actual status of atrial arrhythmia (AA) recurrence after PFA. We prospectively enrolled 49 patients with PeAF who underwent PFA strategy comprising superior vena cava isolation, pulmonary vein isolation, and posterior wall box isolation between December 2022 and January 2024. After median follow‐up of 14.1 months, 30 patients (61.22%) had zero AA burden. Kaplan–Meier analysis show that the freedom from recurrence increased with arrhythmia duration thresholds, from 59.54% to 80.50% (duration < 2 min vs. duration > 48 h, p = 0.040). Safety events occurred in two patients (one transient ischemic attack and one pseudoaneurysm). PFA is an effective modality for the treatment of patients with PeAF.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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