Incidence of Atrial Arrhythmias Detected by Permanent Pacemakers (PPM) Post‐Pulmonary Vein Antrum Isolation (PVAI) for Atrial Fibrillation (AF): Correlation with Symptomatic Recurrence

Verma, Atul; Minor, Stephen; Kılıçaslan, Fethi; Patel, Dimpi; Sheng, Hao; Beheiry, R N Salwa; Lakkireddy, Dhanumjaya; Elayi, Samy Claude; Cummings, Jennifer E.; Martin, David O.; Burkhardt, J. David; Schweikert, Robert A.; Saliba, Walid; Tchou, Patrick; Natale, Andrea

doi:10.1111/j.1540-8167.2007.00789.x

Cited by 35 publications

(29 citation statements)

References 19 publications

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“…In our study with regular daily monitoring for one year, only 2% patients did not recognize any AF/AT recurrence and were exposed to wrong clinical judgement on their ablation outcome. This is less than in the abovementioned studies, however, in accord with other studies (utilizing ECG monitoring including monitoring functions of implanted pacemakers) that have observed only 2-3% of entirely asymptomatic patients with post-ablation AF/AT recurrences 17,18 . Disparities in individual symptom perception may largely depend on how the patients were instructed and able to correctly interpret AF-related symptoms other than palpitations, like dyspnoea, fatigue or incapacity.…”

Section: Discussionsupporting

confidence: 78%

Comparison of two modes of long-term ECG monitoring to assess the efficacy of catheter ablation for paroxysmal atrial fibrillation

Chovančík

Bůlková²,

Wichterle

et al. 2019

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims. Optimal ECG monitoring in detecting recurrences of atrial fibrillation (AF) or atrial tachycardia (AT) after catheter ablation has not been well established. The purpose of this prospective study was to compare the utility of daily ECG monitoring with episodic card recorder (ECR) vs. periodic monitoring with episodic loop recorder (ELR) for the detection of post-blanking AF/AT recurrences during early (Months 4-6) and late (Months 7-12) periods after catheter ablation for paroxysmal AF. Methods. The study included 105 consecutive patients, who received ECR for 12 months and were instructed to send at least 2 random ECG recordings daily with extra-recordings during symptoms. The patients were simultaneously monitored for one week with ELR at the end of each period (Months 6 and 12). Results. Thirty-one and 12 patients with AF/AT recurrence were identified by means of ECR and ELR, respectively. In patients with complete and valid data, ELR technology was inferior to ECR by detecting AF/AT in 5 (31%) of 16 and 5 (26%) of 19 patients with arrhythmia identified by ECR in the early and late period, respectively. Overall, ELR had a sensitivity of 8/23 (35%) for detecting AF/AT recurrence. There was no single patient with AF/AT recurrence on ELR that would not be known from ECR monitoring. Only 2 patients with arrhythmia recurrence were completely asymptomatic throughout the study period. Conclusion. Daily ECG monitoring with ECR was better than periodic monitoring with ELR in detecting AF/AT recurrences during the follow-up periods. Entirely asymptomatic patients with AF/AT recurrences were rare.

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Section: Discussionsupporting

confidence: 78%

Comparison of two modes of long-term ECG monitoring to assess the efficacy of catheter ablation for paroxysmal atrial fibrillation

Chovančík

Bůlková²,

Wichterle

et al. 2019

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…The results of our study are consistent with those of studies by Purerfellner et al 16 and Verma et al 17. Purerfellner et al evaluated earlier methodologies of catheter ablation for AF in a small number of patients with implantable devices and demonstrated a significant reduction in AF burden after ablation, but continued episodes of both symptomatic and asymptomatic AF were also observed.…”

Section: Discussionsupporting

confidence: 92%

The evaluation of pulmonary vein isolation and wide-area left atrial ablation to treat atrial fibrillation in patients with implanted permanent pacemakers: the Previously Paced Pulmonary Vein Isolation Study

Veasey¹,

Silberbauer²,

Schilling

et al. 2010

Heart

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“…One report determined that PPM detected atrial tachyarrhythmia recurrences in 30% of patients without symptoms of AF, and revealed that most of these episodes were <60 s in duration and subsided within 3 months. 16 The second report compared freedom from AF as assessed by patient symptoms (71% of patients after catheter ablation), 24-to 48-h Holter monitor recording every 6 months (64%), 1-week Holter monitor recording every 6 months (58%), and continuous monitoring by the PPM (43%). The authors concluded that the more rigorous the monitoring, the more AF was uncovered.…”

Section: Undetected Af Recurrencementioning

confidence: 99%

Incidence of Late Thromboembolic Events After Catheter Ablation of Atrial Fibrillation

Yagishita

Takahashi

et al. 2011

Circ J

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Background: A low incidence of thromboembolic events after successful catheter ablation of atrial fibrillation (AF) during a mid-term follow-up period was recently reported. However, because the incidence of such events over the long term is unknown, we investigated the late incidence of thromboembolic events after catheter ablation. Methods and Results:Patients with paroxysmal and persistent AF undergoing catheter ablation and being followed up for at least 24 months formed the study group (n=524); 82 patients (16%) had CHADS2 scores of at least 2. Mean follow-up was 44±13 months. Warfarin was discontinued in 400 (93%) of 429 patients (82% of 524 patients) without AF recurrence. None of the patients without AF recurrence suffered thromboembolic events, whereas 3 of 95 patients (3%) with AF recurrence did (P<0.001). One of the 3 was a late AF recurrence occurring >12 months after catheter ablation. There were 2 nonfatal major hemorrhagic events in patients with AF recurrence who continued on warfarin, but no hemorrhagic events were observed in patients free from AF (P=0.002). Conclusions:Maintenance of sinus rhythm after catheter ablation of AF was associated with a lower incidence of thromboembolic events during long-term follow-up >3 years. This result suggests that catheter ablation reduces thromboembolic events if patients continue anticoagulation regardless of the ablation outcome. (Circ J 2011; 75: 2343 - 2349

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Incidence of Atrial Arrhythmias Detected by Permanent Pacemakers (PPM) Post‐Pulmonary Vein Antrum Isolation (PVAI) for Atrial Fibrillation (AF): Correlation with Symptomatic Recurrence

Abstract: Detection of atrial tachyarrhythmias by a PPM occurred in 30% of patients without symptomatic AF recurrence. Most of these episodes were <60 seconds and waned within 3 months. Sustained, asymptomatic episodes were uncommon.

Cited by 35 publications

References 19 publications

Comparison of two modes of long-term ECG monitoring to assess the efficacy of catheter ablation for paroxysmal atrial fibrillation

Comparison of two modes of long-term ECG monitoring to assess the efficacy of catheter ablation for paroxysmal atrial fibrillation

The evaluation of pulmonary vein isolation and wide-area left atrial ablation to treat atrial fibrillation in patients with implanted permanent pacemakers: the Previously Paced Pulmonary Vein Isolation Study

Incidence of Late Thromboembolic Events After Catheter Ablation of Atrial Fibrillation

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