Characterization of Atrial Substrate to Predict the Success of Pulmonary Vein Isolation: The Prospective, Multicenter MASH-AF II (Multipolar Atrial Substrate High Density Mapping in Atrial Fibrillation) Study.
atrial fibrillation
atrial volume
fibrosis
low‐voltage zones
pulmonary vein isolation
scar
transition zone
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
03 01 2023
03 01 2023
Historique:
pubmed:
25
12
2022
medline:
6
1
2023
entrez:
24
12
2022
Statut:
ppublish
Résumé
Background Left atrial substrate may have mechanistic relevance for ablation of atrial fibrillation (AF). We sought to analyze the relationship between low-voltage zones (LVZs), transition zones, and AF recurrence in patients undergoing pulmonary vein isolation. Methods and Results We conducted a prospective multicenter study on consecutive patients undergoing pulmonary vein isolation-only approach. LVZs and transition zones (0.5-1 mV) were analyzed offline on high-density electroanatomical maps collected before pulmonary vein isolation. Overall, 262 patients (61±11 years, 31% female) with paroxysmal (130 pts) or persistent (132 pts) AF were included. After 28 months of follow-up, 73 (28%) patients experienced recurrence. An extension of more than 5% LVZ in paroxysmal AF and more than 15% in persistent AF was associated with recurrence (hazard ratio [HR], 4.4 [95% CI, 2.0-9.8],
Identifiants
pubmed: 36565183
doi: 10.1161/JAHA.122.027795
pmc: PMC9973584
doi:
Types de publication
Multicenter Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e027795Références
JACC Clin Electrophysiol. 2019 Nov;5(11):1253-1261
pubmed: 31753429
Circ Arrhythm Electrophysiol. 2020 Nov;13(11):e008707
pubmed: 33031713
JACC Clin Electrophysiol. 2018 Dec;4(12):1541-1552
pubmed: 30573117
Europace. 2020 Dec 23;22(12):1812-1821
pubmed: 32830233
J Cardiovasc Electrophysiol. 2016 Jan;27(1):22-30
pubmed: 26511713
J Cardiovasc Electrophysiol. 2017 Jun;28(6):642-650
pubmed: 28387462
Circ Arrhythm Electrophysiol. 2014 Oct;7(5):825-33
pubmed: 25151631
J Cardiovasc Electrophysiol. 2017 Dec;28(12):1393-1402
pubmed: 28884923
Circ Arrhythm Electrophysiol. 2017 Nov;10(11):
pubmed: 29141843
J Cardiovasc Electrophysiol. 2017 Sep;28(9):971-983
pubmed: 28635186
Circ Arrhythm Electrophysiol. 2016 Mar;9(3):
pubmed: 26966286
Am J Cardiol. 2022 Mar 1;166:45-52
pubmed: 34961604
Int J Cardiol. 2018 Apr 15;257:97-101
pubmed: 29506746
Eur Heart J Cardiovasc Imaging. 2016 Sep;17(9):1009-17
pubmed: 26758412
Europace. 2018 Nov 1;20(11):1766-1775
pubmed: 29177475
J Interv Card Electrophysiol. 2019 Dec;56(3):213-227
pubmed: 31076965
Circ Arrhythm Electrophysiol. 2016 Feb;9(2):e003382
pubmed: 26857907
J Am Coll Cardiol. 2005 Jan 18;45(2):285-92
pubmed: 15653029
Europace. 2018 Jan 1;20(1):e1-e160
pubmed: 29016840
J Am Heart Assoc. 2020 Jul 7;9(13):e015927
pubmed: 32578466