Catheter ablation of atrial fibrillation in patients with concomitant sinus bradycardia-Insights from the German Ablation Registry
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Catheter ablation of atrial fibrillation in patients with concomitant sinus bradycardia-Insights from the German Ablation Registry. / Zylla, Maura M; Brachmann, Johannes; Lewalter, Thorsten; Hoffmann, Ellen; Kuck, Karl-Heinz; Andresen, Dietrich; Willems, Stephan; Hochadel, Matthias; Senges, Jochen; Katus, Hugo A; Thomas, Dierk.
In: J ELECTROCARDIOL, Vol. 49, No. 2, 26.01.2016, p. 117-123.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Catheter ablation of atrial fibrillation in patients with concomitant sinus bradycardia-Insights from the German Ablation Registry
AU - Zylla, Maura M
AU - Brachmann, Johannes
AU - Lewalter, Thorsten
AU - Hoffmann, Ellen
AU - Kuck, Karl-Heinz
AU - Andresen, Dietrich
AU - Willems, Stephan
AU - Hochadel, Matthias
AU - Senges, Jochen
AU - Katus, Hugo A
AU - Thomas, Dierk
N1 - Copyright © 2016 Elsevier Inc. All rights reserved.
PY - 2016/1/26
Y1 - 2016/1/26
N2 - AIMS: This investigation addresses procedural characteristics of catheter ablation in patients with atrial fibrillation (AF) and sinus bradycardia.METHODS: From the prospective, multi-center German Ablation Registry 1073 patients with sinus rhythm at the time of AF ablation were divided into two groups according to heart rate at start of procedure (A, <60 beats per minute (bpm), n=197; B, 60-99bpm, n=876).RESULTS: Acute procedural success was high (≥98%) and similar between groups. Procedure duration and energy application time were increased in group A (180min vs. 155min and 2561s vs. 1879s, respectively). Major complications were more frequent in group A (2.2% vs. 0.5%), and a greater proportion of these patients was discharged under antiarrhythmic medication (64% vs. 52%).CONCLUSION: Catheter ablation of AF with concomitant sinus bradycardia is associated with high procedural efficacy, longer procedure- and energy application durations, and a slightly elevated complication rate.
AB - AIMS: This investigation addresses procedural characteristics of catheter ablation in patients with atrial fibrillation (AF) and sinus bradycardia.METHODS: From the prospective, multi-center German Ablation Registry 1073 patients with sinus rhythm at the time of AF ablation were divided into two groups according to heart rate at start of procedure (A, <60 beats per minute (bpm), n=197; B, 60-99bpm, n=876).RESULTS: Acute procedural success was high (≥98%) and similar between groups. Procedure duration and energy application time were increased in group A (180min vs. 155min and 2561s vs. 1879s, respectively). Major complications were more frequent in group A (2.2% vs. 0.5%), and a greater proportion of these patients was discharged under antiarrhythmic medication (64% vs. 52%).CONCLUSION: Catheter ablation of AF with concomitant sinus bradycardia is associated with high procedural efficacy, longer procedure- and energy application durations, and a slightly elevated complication rate.
KW - Atrial Fibrillation/mortality
KW - Body Surface Potential Mapping/mortality
KW - Bradycardia/mortality
KW - Catheter Ablation/mortality
KW - Comorbidity
KW - Female
KW - Germany/epidemiology
KW - Humans
KW - Male
KW - Middle Aged
KW - Operative Time
KW - Postoperative Complications/mortality
KW - Prevalence
KW - Registries
KW - Retrospective Studies
KW - Risk Factors
KW - Surgery, Computer-Assisted/mortality
KW - Survival Rate
KW - Treatment Outcome
U2 - 10.1016/j.jelectrocard.2015.12.007
DO - 10.1016/j.jelectrocard.2015.12.007
M3 - SCORING: Journal article
C2 - 26806120
VL - 49
SP - 117
EP - 123
JO - J ELECTROCARDIOL
JF - J ELECTROCARDIOL
SN - 0022-0736
IS - 2
ER -