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- W1973669999 abstract "A significant proportion of patients develop atrial fibrillation (AF) following cavo-tricuspid isthmus (CTI) ablation for typical atrial flutter (AFl). The aim of this study was to assess whether the presence of advanced interatrial block (aIAB) was associated with a higher risk of AF after CTI ablation in patients with typical AFl and no prior history of AF. Patients with typical AFl and no prior history of AF referred for CTI ablation were included in the study. Redo-ablations and patients without demonstration of bidirectional block were excluded. In all patients, a post-ablation ECG in sinus rhythm was evaluated for the presence of aIAB, defined as a p-wave duration ≥ 120 ms and biphasic morphology in the inferior leads. New-onset AF was identified from 12-lead ECGs, Holter monitoring and device interrogations. The cohort consisted of 122 patients with mean age of 67 ± 10.6 years, left atrial (LA) diameter 42.8 ± 6 mm, ejection fraction 55.8 ± 11.2% and 79.5% were male. Advanced IAB was detected in 23% of the patients. Over a mean follow-up was 30.5 ± 15.3 months (median 30 months), 57 patients developed new-onset AF (46.7%). The incidence of AF was greater in patients with aIAB (71.4%) compared to those without aIAB (39.4%, p=0.003). After multivariate analysis, aIAB remained statistically significant (OR 2.9, 95% CI 1.02-8.6; p<0.04). Advanced IAB is with a predictor of higher occurrence of AF after successful CTI ablation in patients with typical AFl and no prior history of AF." @default.
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- W1973669999 date "2014-10-01" @default.
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- W1973669999 title "ADVANCED INTERATRIAL BLOCK PREDICTS ATRIAL FIBRILLATION POST CAVOTRICUSPID ISTHMUS ABLATION FOR TYPICAL ATRIAL FLUTTER" @default.
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- W1973669999 doi "https://doi.org/10.1016/j.cjca.2014.07.286" @default.
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