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Adenosine usage dur...
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van Rosmalen, Frank
(författare)
Adenosine usage during AF ablation in Europe and selected long-term findings from the ESC-EHRA EORP Atrial Fibrillation Ablation Long-Term registry.
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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2020-04-30
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Springer Science and Business Media LLC,2021
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:uu-410275
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-410275URI
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https://doi.org/10.1007/s10840-020-00744-8DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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BACKGROUND: Adenosine can be used to reveal dormant pulmonary vein (PV) conduction after PV isolation (PVI). This study presents a subanalysis of real-world 1-year follow-up data from the ESC-EHRA EORP Atrial Fibrillation (AF) Ablation Long-Term registry to analyze the usage of adenosine during PVI treatment in terms of rhythm outcome and safety.METHODS: The registry consists of 104 participating centers in 27 countries within the European Society of Cardiology. The registry data was split into an adenosine group (AG) and no-adenosine group (NAG). Procedure characteristics and patient outcome were compared.RESULTS: Adenosine was administered in 10.8% of the 3591 PVI patients included in the registry. Spain, the Netherlands, and Italy included the majority of adenosine cases (48.8%). Adenosine was applied more often in combination with open irrigation radiofrequency (RF) energy (74.7%) and less often in combination with nonirrigated RF energy (1.6%). After 1 year, a higher percentage of the AG was free from AF compared with the NAG (68.9% vs 59.1%, p < 0.001). Adenosine was associated with better rhythm outcome in RF ablation procedures, but not in cryo-ablation procedures (freedom from AF: RF: AG: 70.9%, NAG: 58.1%, p < 0.001, cryo: AG: 63.9%, NAG: 63.8%, p = 0.991).CONCLUSIONS: The use of adenosine was associated with a better rhythm outcome after 1 year follow-up and seems more useful in patients treated with RF energy compared with patients treated with cryo energy. Given the improved rhythm outcome at 1-year follow-up, it seems reasonable to encourage the use of adenosine during RF AF ablation.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Delhaas, Tammo
(författare)
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Dagres, Nikolaos
(författare)
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Arbelo, Elena
(författare)
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Blomström-Lundqvist, CarinaUppsala universitet,Kardiologi-arrytmi,Kardiologi(Swepub:uu)carinabl
(författare)
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Crijns, Harry J G M
(författare)
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Da Costa, Antoine
(författare)
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Pytkowski, Mariusz
(författare)
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Sharikov, Nikita
(författare)
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Laroche, Cécile
(författare)
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Tavazzi, Luigi
(författare)
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Brugada, Joseph
(författare)
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Pison, Laurent
(författare)
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Uppsala universitetKardiologi-arrytmi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Interventional Cardiac Electrophysiology: Springer Science and Business Media LLC60, s. 395-4061383-875X1572-8595
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Delhaas, Tammo
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Dagres, Nikolaos
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Arbelo, Elena
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Crijns, Harry J ...
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Da Costa, Antoin ...
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Pytkowski, Mariu ...
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Sharikov, Nikita
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Laroche, Cécile
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Tavazzi, Luigi
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Brugada, Joseph
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Pison, Laurent
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