Bibliographic Details
Title: |
Catheter ablation in Asian patients with atrial fibrillation and hypertrophic cardiomyopathy: electrophysiological characteristics of recurrence and long-term clinical outcomes |
Authors: |
Chih-Hsien Lin, Chin-Yu Lin, Fa-Po Chung, Yenn-Jiang Lin, Shih-Lin Chang, Li-Wei Lo, Yu-Feng Hu, Tze-Fan Chao, Jo-Nan Liao, Ting-Yung Chang, Ta-Chuan Tuan, Ling Kuo, Cheng-I Wu, Chih-Min Liu, Shin-Huei Liu, Guan-Yi Li, Ming-Jen Kuo, Chi-Jen Weng, Shih-Ann Chen |
Source: |
Frontiers in Cardiovascular Medicine, Vol 10 (2023) |
Publisher Information: |
Frontiers Media S.A., 2023. |
Publication Year: |
2023 |
Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
Subject Terms: |
atrial fibrillation, hypertrophic cardiomyopathy, catheter ablation, recurrence, long-term outcomes, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
More Details: |
BackgroundCatheter ablation (CA) is a treatment strategy for atrial fibrillation (AF) in patients with hypertrophic cardiomyopathy (HCM). We investigated the electrophysiological characteristics of recurrence in a tertiary referral center and compared long-term clinical outcomes after CA therapy with patients who did not undergo CA.MethodsPatients with HCM and AF who underwent CA (group 1, n = 60) or pharmacological treatment (group 2, n = 298) between 2006 and 2021 were enrolled in this study. The baseline characteristics and electrophysiological characteristics of group 1 patients were examined to elucidate the reason for the recurrence of AF after CA therapy. The clinical results of the patients in Group 1 and Group 2 were compared using a propensity score (PS)-matched method.ResultsThe most common cause of recurrence was pulmonary vein reconnection (86.5%), followed by non-pulmonary vein triggers (40.5%), cavotricuspid isthmus flutter (29.7%), and atypical flutter (24.3%). Thyroid disease (HR, 14.713; P |
Document Type: |
article |
File Description: |
electronic resource |
Language: |
English |
ISSN: |
2297-055X |
Relation: |
https://www.frontiersin.org/articles/10.3389/fcvm.2023.1135230/full; https://doaj.org/toc/2297-055X |
DOI: |
10.3389/fcvm.2023.1135230 |
Access URL: |
https://doaj.org/article/11d9edcdf7ac4ed28276c1699e412827 |
Accession Number: |
edsdoj.11d9edcdf7ac4ed28276c1699e412827 |
Database: |
Directory of Open Access Journals |