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Adenosine usage dur...
Adenosine usage during AF ablation in Europe and selected long-term findings from the ESC-EHRA EORP Atrial Fibrillation Ablation Long-Term registry.
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van Rosmalen, Frank (author)
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Delhaas, Tammo (author)
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Dagres, Nikolaos (author)
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Arbelo, Elena (author)
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- Blomström-Lundqvist, Carina (author)
- Uppsala universitet,Kardiologi-arrytmi,Kardiologi
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Crijns, Harry J G M (author)
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Da Costa, Antoine (author)
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Pytkowski, Mariusz (author)
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Sharikov, Nikita (author)
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Laroche, Cécile (author)
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Tavazzi, Luigi (author)
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Brugada, Joseph (author)
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Pison, Laurent (author)
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(creator_code:org_t)
- 2020-04-30
- 2021
- English.
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In: Journal of Interventional Cardiac Electrophysiology. - : Springer Science and Business Media LLC. - 1383-875X .- 1572-8595. ; 60, s. 395-406
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https://link.springe...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Adenosine
- Follow-up
- Pulmonary vein isolation
- Rhythm outcome
- Safety
- Cardiology
- Kardiologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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van Rosmalen, Fr ...
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Delhaas, Tammo
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Dagres, Nikolaos
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Arbelo, Elena
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Blomström-Lundqv ...
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Crijns, Harry J ...
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show more...
-
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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show less...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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Journal of Inter ...
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Uppsala University