Time to cardioversion of recurrent atrial arrhythmias after cathetic ablation of atrial fibrillation and long-term clinical outcome.

Autor: Baman TS, Gupta SK, Billakanty SR, Ilg KJ, Good E, Crawford T, Jongnarangsin K, Ebinger M, Pelosi F Jr., Bogun F, Chugh A, Morady F, Oral H
Zdroj: Journal of Cardiovascular Electrophysiology; Dec2009, Vol. 20 Issue 12, p1321-1325, 5p
Abstrakt: Introduction: It is unclear whether early restoration of sinus rhythm in patientswith persistent atrial arrhythmias after catheter ablation of atrial fibrillation (AF) facilitates reverse atrial remodeling and promotes long-term maintenance of sinus rhythm. The purpose of this study was to determine the relationship between the time to restoration of sinus rhythm after a recurrence of an atrial arrhythmia and long-term maintenance of sinus rhythm after radiofrequency catheter ablation of AF. Methods and Results: Radiofrequency catheter ablation was performed in 384 consecutive patients (age 60 ± 9 years) for paroxysmal (215 patients) or persistent AF (169 patients). Transthoracic cardioversion was performed in all 93 patients (24%) who presented with a persistent atrial arrhythmia: AF (n = 74) or atrial flutter (n = 19) at a mean of 51 ± 53 days from the recurrence of atrial arrhythmia and 88 ± 72 days from the ablation procedure. At a mean of 16 ± 10 months after the ablation procedure, 25 of 93 patients (27%) who underwent cardioversion were in sinus rhythm without antiarrhythmic therapy. Among the 46 patients who underwent cardioversion at
Databáze: Complementary Index