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Cited by 867

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Ablation Versus Amiodarone for Treatment of Persistent Atrial Fibrillation in Patients With Congestive Heart Failure and an Implanted Device: Results From the AATAC Multicenter Randomized Trial

Open access
Di Biase, Luigi, Mohanty, Prasant, Mohanty, Sanghamitra, Santangeli, Pasquale, Trivedi, Chintan, Lakkireddy, Dhanunjaya, Reddy, Madhu, Jais, Pierre, Themistoclakis, Sakis, Dello Russo, Antonio, Casella, Michela, Pelargonio, Gemma, Narducci, Maria Lucia, Schweikert, Robert, Neuzil, Petr, Sanchez, Javier, Horton, Rodney, Beheiry, Salwa, Hongo, Richard, Hao, Steven, Rossillo, Antonio, Forleo, Giovanni, Tondo, Claudio, Burkhardt, J. David, Haissaguerre, Michel, Natale, Andrea·2016·Circulation

Abstract

Background—: Whether catheter ablation (CA) is superior to amiodarone (AMIO) for the treatment of persistent atrial fibrillation (AF) in patients with heart failure is unknown. Methods and Results—: This was an open-label, randomized, parallel-group, multicenter study. Patients with persistent AF, dual-chamber implantable cardioverter defibrillator or cardiac resynchronization therapy defibrillator, New York Heart Association II to III, and left ventricular ejection fraction <40% within the past 6 months were randomly assigned (1:1 ratio) to undergo CA for AF (group 1, n=102) or receive AMIO (group 2, n=101). Recurrence of AF was the primary end point. All-cause mortality and unplanned hospitalization were the secondary end points. Patients were followed up for a minimum of 24 months. At the end of follow-up, 71 (70%; 95% confidence interval, 60%–78%) patients in group 1 were recurrence free after an average of 1.4±0.6 procedures in comparison with 34 (34%; 95% confidence interval, 25%–44%) in group 2 (log-rank P <0.001). The success rate of CA in the different centers after a single procedure ranged from 29% to 61%. After adjusting for covariates in the multivariable model, AMIO therapy was found to be significantly more likely to fail (hazard ratio, 2.5; 95% confidence interval, 1.5–4.3; P <0.001) than CA. Over the 2-year follow-up, the unplanned hospitalization rate was (32 [31%] in group 1 and 58 [57%] in group 2; P <0.001), showing 45% relative risk reduction (relative risk, 0.55; 95% confidence interval, 0.39–0.76). A significantly lower mortality was observed in CA (8 [8%] versus AMIO (18 [18%]; P =0.037). Conclusions—: This multicenter randomized study shows that CA of AF is superior to AMIO in achieving freedom from AF at long-term follow-up and reducing unplanned hospitalization and mortality in patients with heart failure and persistent AF. Clinical Trial Registration—: URL: http://www.clinicaltrials.gov . Unique identifier: NCT00729911.

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Crossref · 10.1161/circulationaha.115.019406

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Metadata

Authors
Di Biase, L., Mohanty, P., Mohanty, S., Santangeli, P., Trivedi, C., Lakkireddy, D., Reddy, M., Jais, P., Themistoclakis, S., Dello Russo, A., Casella, M., Pelargonio, G., Narducci, M. L., Schweikert, R., Neuzil, P., Sanchez, J., Horton, R., Beheiry, S., Hongo, R., Hao, S., Rossillo, A., Forleo, G., Tondo, C., Burkhardt, J. D., Haissaguerre, M., & Natale, A.
Venue
Circulation
Published
2016-04-26
Volume
133
Issue
17
Pages
1637-1644
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2333399234
Cited by
867
References
38
FWCI
64.49
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Ablation Versus Amiodarone for Treatment of Persistent Atrial Fibrillation in Patients With Congestive Heart Failure and an Implanted Device: Results From the AATAC Multicenter Randomized Trial. https://app.cochat.ai/papers/10.1161/circulationaha.115.019406
The paper
Di Biase, L., Mohanty, P., Mohanty, S., Santangeli, P., Trivedi, C., Lakkireddy, D., Reddy, M., Jais, P., Themistoclakis, S., Dello Russo, A., Casella, M., Pelargonio, G., Narducci, M. L., Schweikert, R., Neuzil, P., Sanchez, J., Horton, R., Beheiry, S., Hongo, R., . . . Natale, A. (2016). Ablation Versus Amiodarone for Treatment of Persistent Atrial Fibrillation in Patients With Congestive Heart Failure and an Implanted Device: Results From the AATAC Multicenter Randomized Trial. Circulation. https://doi.org/10.1161/circulationaha.115.019406

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.