Cigarette smoking causes a worse long‐term outcome in persistent atrial fibrillation following catheter ablation

Cheng, Wood-Hi; Lo, Li Wei; Lin, Yenn Jiang; Chang, Shih Lin; Hu, Yu Feng; Hung, Yuan; Chang, Tsan‐Kuo; Huang, Ting Chun; Yamada, Shuichi; Salim, Simon; Chung, Fa‐Po; Liao, Jo Nan; Tuan, Ta Chuan; Chao, Tze Fan; Tsai, Tsung‐Ying; Liu, Shin Huei; Chen, Shih Ann

doi:10.1111/jce.13451

Cited by 31 publications

(18 citation statements)

References 48 publications

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“…Rapid activities were observed in the superior vena cava (SVC) and atrial fibrillation was terminated after SVC isolation. The importance of nonpulmonary vein ectopic foci initiating atrial fibrillation has been documented in numerous literatures, including triggers from the SVC, left atrial free wall, appendage, crista terminalis, coronary sinus, ligament of Marshall, and interatrial septum [1,[4][5][6][7][8]. In our laboratory, we found that the incidence is higher (45%) among patients with longstanding persistent atrial fibrillation who received catheter ablation [7].…”

Section: Nonpulmonary Vein Ectopy In Persistent Atrial Fibrillationmentioning

confidence: 50%

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Ablation of persistent atrial fibrillation and beyond

Lin

Chen

2018

Current Opinion in Cardiology

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Purpose of reviewPercutaneous catheter ablation is an effective treatment for atrial fibrillation. However, catheter ablation for the treatment of persistent atrial fibrillation or long-standing persistent atrial fibrillation is associated with unsatisfying success rates. This review aims to summarize the recent literature on the progress of catheter ablation among patients with persistent atrial fibrillation Recent findingsIn this review, we outline the potential future therapeutic techniques of catheter ablation of persistent atrial fibrillation. We highlight the innovative techniques (rotor mapping, substrate mapping, delayed enhancement MRI, and high-resolution mapping catheter) of current approaches and optimal procedural endpoint for persistent atrial fibrillation.

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Section: Nonpulmonary Vein Ectopy In Persistent Atrial Fibrillationmentioning

confidence: 50%

“…recurrence arrhythmia [12]. Recently, we also found that cigarette smoking can increase the incidence of nonpulmonary vein triggers among patients with persistent atrial fibrillation, especially of right atrial nonpulmonary vein triggers and was associated with a worse ablation outcome [5].…”

Section: Key Pointsmentioning

confidence: 99%

Ablation of persistent atrial fibrillation and beyond

Lin

Chen

2018

Current Opinion in Cardiology

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“…Smoking increases the incidence of nonPV triggers in patients with persistent AF. Smokers who had arrhythmia triggers located in the right atrium had a worse outcome after ablation [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Early-Recurrence Atrial Fibrillation after Catheter Ablation in Women and Men with Abnormal Body Weight

Budzianowski

Hiczkiewicz

Łojewska³

et al. 2021

JCM

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Our study aimed to select factors that affect the rate of early recurrence (up to 3 months) of atrial fibrillation (AF) (ERAF) following pulmonary veins isolation (PVI) in obese women and men. The study comprised 114 patients: 54 women (age: 63.8 ± 6.3, BMI 31 ± 4 kg/m2), and 60 men (age: 60.7 ± 6.7; BMI 31 ± 3 kg/m2) with paroxysmal, persistent and long-standing persistent AF. They had been scheduled to undergo cryoballoon (men n = 30; women n = 30) and radiofrequency (RF) ablation (men n = 30; women n = 24) using the CARTO-mapping. The blood was collected at baseline and 24 h after ablation. The rate of ERAF was comparable after cryoballoon and RF ablation and constituted 18% in women and 22% in men. Almost 70 parameters were selected to perform univariate and multivariate analysis and to create a multivariate logistic regression (MLR) model of ERAF in the obese men and women. The MLR analysis was performed by forward stepwise logistic regression with three variables. It was only possible to create the MLR model for the group of obese men. It revealed a poor predictive value with an unsatisfactory sensitivity of 31%. Men with ERAF: smokers (OR 39.25, 95% CI 1.050–1467.8, p = 0.0021), with a higher ST2 elevation (OR 1.68, 95% CI 1.115–2.536, p = 0.0021) who received dihydropyridine calcium channel blockers (OR 0.042, 95% CI 0.002–1.071, p = 0.0021) less frequently. Our results indicate a complex pathogenesis of ERAF dependent on the patients’ gender.

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“…Smoking cessation after AF diagnosis appears to reduce AF recurrence risk [ 102 ] as well as the recurrence risk after pulmonary vein isolation (PVI) [ 113 , 114 , 115 ] and cardioversion, at least for women [ 116 ]. Conflicting data exist regarding the AF risk of former smokers, with some studies showing a reduced AF risk for former smokers compared to current smokers [ 103 , 117 ], whereas other studies could not confirm this finding [ 98 ].…”

Section: Atrial Myocardium and Tobacco Smokingmentioning

confidence: 99%

Harmful Impact of Tobacco Smoking and Alcohol Consumption on the Atrial Myocardium

Ohlrogge

Frost

Schnabel

2022

Cells

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Tobacco smoking and alcohol consumption are widespread exposures that are legal and socially accepted in many societies. Both have been widely recognized as important risk factors for diseases in all vital organ systems including cardiovascular diseases, and with clinical manifestations that are associated with atrial dysfunction, so-called atrial cardiomyopathy, especially atrial fibrillation and stroke. The pathogenesis of atrial cardiomyopathy, atrial fibrillation, and stroke in context with smoking and alcohol consumption is complex and multifactorial, involving pathophysiological mechanisms, environmental, and societal aspects. This narrative review summarizes the current literature regarding alterations in the atrial myocardium that is associated with smoking and alcohol.

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Cigarette smoking causes a worse long‐term outcome in persistent atrial fibrillation following catheter ablation

Abstract: Smoking increases the incidence of NPV triggers in patients with persistent AF. Smokers who have RA-NPV triggers during index procedure do have a worse outcome after catheter ablation, indicating the harmful effects of nicotine to right atrium.

Cited by 31 publications

References 48 publications

Ablation of persistent atrial fibrillation and beyond

Ablation of persistent atrial fibrillation and beyond

Predictors of Early-Recurrence Atrial Fibrillation after Catheter Ablation in Women and Men with Abnormal Body Weight

Harmful Impact of Tobacco Smoking and Alcohol Consumption on the Atrial Myocardium

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