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Sökning: WFRF:(Pytkowski Mariusz) > Adenosine usage dur...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003817naa a2200529 4500
001oai:DiVA.org:uu-410275
003SwePub
008200514s2021 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4102752 URI
0247 a https://doi.org/10.1007/s10840-020-00744-82 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a van Rosmalen, Frank4 aut
2451 0a Adenosine usage during AF ablation in Europe and selected long-term findings from the ESC-EHRA EORP Atrial Fibrillation Ablation Long-Term registry.
264 c 2020-04-30
264 1b Springer Science and Business Media LLC,c 2021
338 a print2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653 a Adenosine
653 a Follow-up
653 a Pulmonary vein isolation
653 a Rhythm outcome
653 a Safety
653 a Cardiology
653 a Kardiologi
7001 a Delhaas, Tammo4 aut
7001 a Dagres, Nikolaos4 aut
7001 a Arbelo, Elena4 aut
7001 a Blomström-Lundqvist, Carinau Uppsala universitet,Kardiologi-arrytmi,Kardiologi4 aut0 (Swepub:uu)carinabl
7001 a Crijns, Harry J G M4 aut
7001 a Da Costa, Antoine4 aut
7001 a Pytkowski, Mariusz4 aut
7001 a Sharikov, Nikita4 aut
7001 a Laroche, Cécile4 aut
7001 a Tavazzi, Luigi4 aut
7001 a Brugada, Joseph4 aut
7001 a Pison, Laurent4 aut
7102 a Uppsala universitetb Kardiologi-arrytmi4 org
7730 t Journal of Interventional Cardiac Electrophysiologyd : Springer Science and Business Media LLCg 60, s. 395-406q 60<395-406x 1383-875Xx 1572-8595
8564 u https://link.springer.com/content/pdf/10.1007/s10840-020-00744-8.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-410275
8564 8u https://doi.org/10.1007/s10840-020-00744-8

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