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Contemporary manage...
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Arbelo, ElenaUniv Barcelona, Hosp Clin Barcelona, Cardiovasc Inst, Dept Cardiol, Barcelona, Spain.
(författare)
Contemporary management of patients undergoing atrial fibrillation ablation : in-hospital and 1-year follow-up findings from the ESC-EHRA atrial fibrillation ablation long-term registry
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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2017-01-18
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Oxford University Press,2017
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-322685
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-322685URI
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https://doi.org/10.1093/eurheartj/ehw564DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Aims The ESC-EHRA Atrial Fibrillation Ablation Long-Term registry is a prospective, multinational study that aims at providing an accurate picture of contemporary real-world ablation for atrial fibrillation (AFib) and its outcome. Methods and results A total of 104 centres in 27 European countries participated and were asked to enrol 20-50 consecutive patients scheduled for first and re-do AFib ablation. Pre-procedural, procedural and 1-year follow-up data were captured on a web-based electronic case record form. Overall, 3630 patients were included, of which 3593 underwent an AFib ablation (98.9%). Median age was 59 years and 32.4% patients had lone atrial fibrillation. Pulmonary vein isolation was attempted in 98.8% of patients and achieved in 95-97%. AFib-related symptoms were present in 97%. Inhospital complications occurred in 7.8% and one patient died due to an atrioesophageal fistula. One-year follow-up was performed in 3180 (88.6%) at a median of 12.4 months (11.9-13.4) after ablation: 52.8% by clinical visit, 44.2% by telephone contact and 3.0% by contact with the general practitioner. At 12-months, the success rate with or without antiarrhythmic drugs (AADs) was 73.6%. A significant portion (46%) was still on AADs. Late complications included 14 additional deaths (4 cardiac, 4 vascular, 6 other causes) and 333 (10.7%) other complications. Conclusion AFib ablation in clinical practice is mostly performed in symptomatic, relatively young and otherwise healthy patients. Overall success rate is satisfactory, but complication rate remains considerable and a significant portion of patients remain on AADs. Monitoring after ablation shows wide variations. Antithrombotic treatment after ablation shows insufficient guideline-adherence.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Brugada, JosepUniv Barcelona, Hosp Clin Barcelona, Cardiovasc Inst, Dept Cardiol, Barcelona, Spain.
(författare)
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Blomström-Lundqvist, CarinaUppsala universitet,Kardiologi(Swepub:uu)carinabl
(författare)
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Laroche, CecileEuropean Soc Cardiol, EURObservat Res Programme, Sophia Antipolis, France.
(författare)
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Kautzner, JosefInst Clin & Expt Med, Dept Cardiol, Prague, Czech Republic.
(författare)
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Pokushalov, EvgenyState Res Inst Circulat Pathol, Arrhythmia Dept, Novosibirsk, Russia.;State Res Inst Circulat Pathol, EP Lab, Novosibirsk, Russia.
(författare)
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Raatikainen, PekkaTampere Univ Hosp, Heart Ctr Co, Tampere, Finland.
(författare)
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Efremidis, MichaelEvangelismos Gen Hosp Athens, Lab Cardiac Electrophysiol, Dept Cardiol 2, Athens, Greece.
(författare)
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Hindricks, GerhardUniv Leipzig, Ctr Heart, Dept Electrophysiol, Leipzig, Germany.
(författare)
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Barrera, AlbertoUniv Hosp Virgen de la Victoria, Dept Cardiol, Arrhythmia Unit, Malaga, Spain.
(författare)
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Maggioni, AldoEuropean Soc Cardiol, EURObservat Res Programme, Sophia Antipolis, France.;Assoc Nazl Med Cardiol Osped Res Ctr AMCO Res Ctr, Florence, Italy.
(författare)
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Tavazzi, LuigiMaria Cecilia Hosp, ES Hlth Sci Fdn, GVM Care & Res, Cotignola, Italy.
(författare)
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Dagres, NikolaosUniv Leipzig, Ctr Heart, Dept Electrophysiol, Leipzig, Germany.
(författare)
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Univ Barcelona, Hosp Clin Barcelona, Cardiovasc Inst, Dept Cardiol, Barcelona, Spain.Kardiologi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Heart Journal: Oxford University Press38:17, s. 1303-13160195-668X1522-9645
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Arbelo, Elena
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Brugada, Josep
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Blomström-Lundqv ...
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Laroche, Cecile
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Kautzner, Josef
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Pokushalov, Evge ...
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Raatikainen, Pek ...
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Efremidis, Micha ...
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Hindricks, Gerha ...
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Barrera, Alberto
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Maggioni, Aldo
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Tavazzi, Luigi
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Dagres, Nikolaos
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