Clinical significance of early recurrences of atrial tachycardia after atrial fibrillation ablation

Jong Il Choi, Hui Nam Pak, Jae Seok Park, Jae Jin Kwak, Yasutsugu Nagamoto, Hong Euy Lim, Sang Weon Park, Chun Hwang, Young Hoon Kim

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Early Recurrence After AF Ablation. Background: Atrial tachycardia (AT) commonly recurs within 3 months after radiofrequency catheter ablation for atrial fibrillation (AF). However, it remains unclear whether early recurrence of atrial tachycardia (ERAT) predicts late recurrence of AF or AT. Methods: Of 352 consecutive patients who underwent circumferential pulmonary vein isolation with or without linear ablation(s) for AF, 56 patients (15.9%) with ERAT were identified by retrospective analysis. ERAT was defined as early relapse of AT within a 3-month blanking period after ablation. Results: During 21.7 ± 12.5 months, the rate of late recurrence was higher in patients with ERAT (41.1%) compared with those without ERAT (11.8%, P < 0.001). In a multivariable model, positive inducibility of AF or AT immediately after ablation (65.2% vs 36.4%, P = 0.046; odd ratio, 3.9; 95% confidence interval, 1.0-14.6) and the number of patients who underwent cavotricuspid isthmus (CTI) ablation (73.9% vs 42.4%, P = 0.042; odd ratio, 4.5; 95% confidence interval, 1.1-19.5) were significantly related to late recurrence in the ERAT group. The duration of ablation (174.3 ± 62.3 vs 114.7 ± 39.5 minutes, P = 0.046) and the procedure time (329.3 ± 83.4 vs 279.2 ± 79.7 minutes, P = 0.027) were significantly longer in patients with late recurrence than in those without late recurrence following ERAT. Conclusions: The late recurrence rate is higher in the patients with ERAT compared with those without ERAT following AF ablation, and is more often noted in the patients who underwent CTI ablation and had a prolonged procedure time. Furthermore, inducibility of AF or AT immediately after ablation independently predicts late recurrence in patients with ERAT.

Original languageEnglish
Pages (from-to)1331-1337
Number of pages7
JournalJournal of Cardiovascular Electrophysiology
Volume21
Issue number12
DOIs
Publication statusPublished - 2010 Dec

Keywords

  • atrial fibrillation
  • atrial tachycardia
  • catheter ablation
  • early recurrence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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  • Cite this

    Choi, J. I., Pak, H. N., Park, J. S., Kwak, J. J., Nagamoto, Y., Lim, H. E., Park, S. W., Hwang, C., & Kim, Y. H. (2010). Clinical significance of early recurrences of atrial tachycardia after atrial fibrillation ablation. Journal of Cardiovascular Electrophysiology, 21(12), 1331-1337. https://doi.org/10.1111/j.1540-8167.2010.01831.x