Early Recurrence of Atrial Tachyarrhythmias Following Radiofrequency Catheter Ablation of Atrial Fibrillation

被引：116

作者：

Andrade, Jason G. ^{[1
]}

Khairy, Paul ^{[1
]}

Verma, Atul ^{[2
]}

Guerra, Peter G. ^{[1
]}

Dubuc, Marc ^{[1
,3
]}

Rivard, Lena ^{[1
]}

Deyell, Marc W.

Mondesert, Blandine ^{[1
]}

Thibault, Bernard ^{[1
]}

Talajic, Mario ^{[1
]}

Roy, Denis ^{[1
]}

Macle, Laurent ^{[1
]}

机构：

[1] Univ Montreal, Montreal Heart Inst, Dept Cardiol, Electrophysiol Serv, Montreal, PQ H1T IC8, Canada

[2] Southlake Reg Hlth Ctr, Newmarket, ON, Canada

[3] Hosp Univ Penn, Philadelphia, PA 19104 USA

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2012年 / 35卷 / 01期

关键词：

atrial fibrillation; atrial tachycardia; catheter ablation; recurrence; PULMONARY VEIN ISOLATION; LATE GADOLINIUM ENHANCEMENT; DELAYED CURE; CLINICAL-SIGNIFICANCE; SURGICAL ABLATION; ANTIARRHYTHMIC-DRUGS; PREDICTIVE-VALUE; TACHYCARDIA; CARDIOVERSION; PREVALENCE;

D O I：

10.1111/j.1540-8159.2011.03256.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The use of blanking periods, the immediate period postablation during which transient tachyarrhythmia episodes are not considered recurrences, has been predicated on the assumption that not all early recurrences of atrial tachyarrhythmias (ERAT) will lead to later recurrences and, as such, does not necessarily represent treatment failure. While ERAT can be expected to occur in approximately 38% of patients within the first 3 months of atrial fibrillation (AF) ablation, only half of these patients will manifest later recurrences. Clinical features related to the patient's history of AF, the index ablation procedure, and particularities of the ERAT can help identify patients at higher risk of later recurrence in whom aggressive attempts to control rhythm, including early cardioversion and reintervention, may be justified. (PACE 2012; 35:106116)

引用

页码：106 / 116

页数：11

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