The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Prevalence, predictors and prognosis of atrial fibrillation early after pulmonary vein isolation: Findings from 3 months of continuous automatic ECG loop recordings
Open accessAbstract
Introduction: Following pulmonary vein isolation (PVI) for atrial fibrillation (AF), early recurrences are frequent, benign and classified as a part of a “blanking period.” This study characterizes early recurrences and determines implications of early AF following PVI. Methods and Results: Seventy‐two consecutive patients (59.8 ± 10.7 years, 69% male) were studied following PVI for paroxysmal or persistent AF. Subjects were fitted with an external loop recorder for automatic, continuous detection of AF recurrence for 3 months. AF prevalence was highest 2 weeks after PVI (54%) and declined to an eventual low of 22%. A significant number (488, 34%) of recurrences were asymptomatic; however, all patients with ≥1 AF event had ≥1 symptomatic event. No clear predictor of early recurrence was identified. Forty‐seven (65%) patients had at least 1 AF episode, predominantly (39 of 47 patients, 83%) within 2 weeks of PVI. Of the 33 patients who did not experience AF within the first 2 weeks, 85% (28/33) were complete responders (P = 0.03) at 12 months. Recurrence at any time within 3 months was not associated with procedural success or failure. Conclusions: Early AF recurrence peaks within the first few weeks after PVI, but continues at a lower level until the completion of monitoring. A blanking period of 3 months is justified to identify patients with AF recurrences that do not portend procedure failure. Freedom from AF in the first 2 weeks following ablation significantly predicts long‐term AF freedom.
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“Very early AF events in the first 2 weeks may predict long-term failure (Joshi et al., 2009), and AF during the blanking period may indicate greater likelihood of need for additional procedures or drugs (Arya et al., 2010).”
From 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry (2017) · cites this paper as Joshi et al., 2009
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Pulmonary Vein Isolation for Paroxysmal and Persistent Atrial Fibrillation
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Circumferential Pulmonary-Vein Ablation for Chronic Atrial Fibrillation
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Delayed cure despite early recurrence after pulmonary vein isolation for atrial fibrillation
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Asymptomatic recurrences of atrial fibrillation after pulmonary vein isolation
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Usefulness of Atrial Fibrillation Burden as a Predictor for Success of Pulmonary Vein Isolation
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Calkins, H. G., Hindricks, G., Cappato, R., Kim, Y., Saad, E., Aguinaga, L., Akar, J. G., Badhwar, V., Brugada, J., Camm, A. J., et al. (2017) · Heart Rhythm · doi:10.1016/j.hrthm.2017.05.012 · Cited by 2,794
Calkins, H., Kuck, K. H., Cappato, R., Brugada, J., Camm, A. J., Chen, S.-A., Crijns, H. J. G., Damiano, R. J., Davies, D. W., DiMarco, J., et al. (2012) · Europace · doi:10.1093/europace/eus027 · Cited by 2,722
Calkins, H. G., Kück, K., Cappato, R., Brugada, J., Camm, A. J., Chen, S., Crijns, H. J. G. M., Damiano, R. J., Davies, D. W., Dimarco, J., et al. (2012) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-012-9672-7 · Cited by 1,685
Calkins, H., Kuck, K. H., Cappato, R., Brugada, J., Camm, A. J., Chen, S.-A., Crijns, H. J. G., Damiano, R. J., Davies, D. W., DiMarco, J., et al. (2012) · Heart Rhythm · doi:10.1016/j.hrthm.2011.12.016 · Cited by 1,456
Calkins, H. G., Hindricks, G., Cappato, R., Kim, Y., Saad, E., Aguinaga, L., Akar, J. G., Badhwar, V., Brugada, J., Camm, A. J., et al. (2017) · EP Europace · doi:10.1093/europace/eux274 · Cited by 1,203
Metadata
- Authors
- JOSHI, S., CHOI, A. D., KAMATH, G. S., RAISZADEH, F., MARRERO, D., BADHEKA, A., MITTAL, S., & STEINBERG, J. S.
- Affiliations
- St. Luke's-Roosevelt Hospital Center (US)
- Corresponding author
- STEINBERG, JONATHAN S.
- ORCID
- Venue
- Journal of Cardiovascular Electrophysiology
- Publisher
- Wiley
- Published
- 2009-10
- Volume
- 20
- Issue
- 10
- Pages
- 1089-1094
- ISSN
- 1045-3873 (ISSN-L)
- 1540-8167
- OpenAlex
- W2036327948
- Cited by
- 134
- References
- 15
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 5 · 2019: 3 · 2018: 9 · 2017: 15 · 2016: 15 · 2015: 9 · 2014: 11 · 2013: 10 · 2012: 11
- FWCI
- 6.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Cardiovascular Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- atrial fibrillation, pulmonary vein isolation, catheter ablation, early recurrence, blanking period, external loop recorder, continuous ECG monitoring, asymptomatic recurrence, predictors of recurrence, long-term prognosis, procedural success
- MeSH terms
- Atrial Fibrillation, Female, Heart Conduction System, Humans, Male, Middle Aged, Prognosis, Pulmonary Veins, Risk Factors, Electrocardiography, Ambulatory, Prevalence, Treatment Outcome, Catheter Ablation, Risk Assessment
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