Catheter ablation of persistent atrial fibrillation with and without a history of paroxysmal atrial fibrillation.

Abstract:

BACKGROUND:It is unclear whether a history of paroxysmal atrial fibrillation (PAF) would impact the effect of catheter ablation on persistent atrial fibrillation (AF). This study aimed to compare the effect of catheter ablation on persistent AF with and without a history of PAF. METHODS:One hundred and eighty-three patients underwent catheter ablation of persistent AF lasting for > 1 month and were reviewed. Patients were divided into two groups according to whether they had a history of PAF or not. Group I consisted of persistent AF patients with a history of PAF, and group II consisted of persistent AF patients without such a history. All patients received catheter ablation focused on pulmonary vein isolation and were observed for arrhythmia recurrences, which were defined as documented episodes of AF or atrial tachycardia after a blanking period of 3 months. RESULTS:One hundred and three patients (60.9%) in group I and sixty-six patients (39.1%) in group II were successfully followed and included in analysis. There were no significant differences in clinical and echocardiographic characteristics between both groups except for a younger age and more male patients in group II. After (15.5 ± 10.7) months of follow-up, 59 (57.3%) patients in group I and 49 (74.2%) patients in group II maintained sinus rhythm free of anti-arrhythmia drugs (P = 0.025). Multivariate analyses found left atrial anteroposterior diameter (P = 0.006) and persistent AF with a history of PAF (OR 1.792, 95%CI 1.019 - 3.152; P = 0.043) as the only independent statistical predictors of arrhythmia recurrences. CONCLUSION:The arrhythmia recurrence rate of catheter ablation based on pulmonary vein isolation in persistent AF with a history of PAF was higher than those without a history of PAF.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Miao CL,Yin XD,Dong JZ,Liu XP,Yu RH,Long DY,Tang RB,Sang CH,Ma CS

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

1175-8

issue

6

eissn

0366-6999

issn

2542-5641

journal_volume

125

pub_type

杂志文章
  • Improved osteoblast proliferation, differentiation and mineralization on nanophase Ti6Al4V.

    abstract:BACKGROUND:Previous studies have demonstrated increased functions of osteoblasts on nanophase materials compared to conventional ceramics or composites. Nanophase materials are unique materials that simulate dimensions of constituent components of bone as they possess particle or grain sizes less than 100 nm. However, ...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Han P,Ji WP,Zhao CL,Zhang XN,Jiang Y

    更新日期:2011-01-01 00:00:00

  • Microsurgical treatment of Nelson's syndrome.

    abstract:OBJECTIVE:To discuss the etiology, diagnostic criteria and treatment of Nelson's syndrome. METHODS:Twenty-three patients with Nelson's syndrome who were treated in our department over the last 19 years were analyzed retrospectively. Removal of adenoma by the transsphenoidal approach was done in 21 patients and by tran...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Xing B,Ren Z,Su C,Wang R,Yang Y,Hu Y

    更新日期:2002-08-01 00:00:00

  • Evidence of compromised circulation in the pathogenesis of optic nerve damage in chronic glaucomatous rabbit.

    abstract::The protective effect of improving the microcirculation on the retinal ganglion cells (RGC) and the ultrastructure of the optic nerve after intravenous (i.v.) use of Salviae miltiorrhiza (SMR) was studied in a chronic intraocular hypertension model in 36 rabbits. These rabbits were treated with topical 0.5% timolol, o...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Zhu MD,Cai FY

    更新日期:1993-12-01 00:00:00

  • Correlation between retinal fluorescein angiography and blood viscosity and other factors in patients with primary open angle glaucoma.

    abstract:OBJECTIVE:To investigate the correlation among retinal fluorescein angiography, blood viscosity, and other factors in patients with open angle glaucoma (POAG). METHODS:Multiple step regression analysis was made to investigate the correlation between each of the following blood vessel filling times: the arm-choroid (A-...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Liu X,Zhou W,Ye T,Ge J,Cai X,Cheng A,Lin Y,Liang L,Tang H,Chen Z

    更新日期:1997-09-01 00:00:00

  • Blood purification therapy in treatment of acute renal failure in infants with melamine-induced stones.

    abstract:BACKGROUND:In 2008, infants in some areas of China suffered from stones of the urinary system which were caused by melamine-contaminated milk formula. Most of the infants were asymptomatic, and a few suffered from acute renal failure induced by urinary obstruction by stones. This study aimed to assess the significance ...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Shen Y,Liu XR,Zhang GJ,Zhou N

    更新日期:2009-02-05 00:00:00

  • Vitamin D receptor and its protective role in diabetic nephropathy.

    abstract:OBJECTIVE:To review the advances of studies on vitamin D receptor and its role in the pathogenesis of diabetic nephropathy. DATA SOURCES:A comprehensive search of the PubMed literatures without restriction on the publication date was carried out using keywords such as vitamin D receptor and diabetic nephropathy. STUD...

    journal_title:Chinese medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Guan X,Yang H,Zhang W,Wang H,Liao L

    更新日期:2014-01-01 00:00:00

  • Baseline Naive CD4+ T-cell Level Predicting Immune Reconstitution in Treated HIV-infected Late Presenters.

    abstract:BACKGROUND:Among HIV-infected patients initiating antiretroviral therapy (ART), early changes in CD4+ T-cell subsets are well described. However, HIV-infected late presenters initiating treatment present with a suboptimal CD4+ T-cell reconstitution and remain at a higher risk for AIDS and non-AIDS events. Therefore, fa...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:10.4103/0366-6999.193460

    authors: Guo FP,Li YJ,Qiu ZF,Lv W,Han Y,Xie J,Li YL,Song XJ,Du SS,Mehraj V,Li TS,Routy JP

    更新日期:2016-11-20 00:00:00

  • Management of intra-articular fracture of the fingers via mini external fixator combined with limited internal fixation.

    abstract:BACKGROUND:Intra-articular fractures of the fingers are common problems to emergency physicians and hand surgeons. Inappropriate management of these injuries may result in chronic pain, stiffness, deformity, or post traumatic arthritis. Ideal treatment necessitates the restoration of a stable and congruent joint that w...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Li WJ,Tian W,Tian GL,Chen SL,Zhang CQ,Xue YH,Li ZZ,Zhu Y

    更新日期:2009-11-05 00:00:00

  • Efficacy of the Dynamic Interspinous Assisted Motion system in clinical treatment of degenerative lumbar disease.

    abstract:BACKGROUND:The Dynamic Interspinous Assisted Motion (DIAM) system was designed to stabilize degenerative spinal segments without fusion surgery, maintain segment motion and prevent adjacent segment degeneration. The aim of this study was to investigate clinical efficacy of the DIAM system in treatment of degenerative l...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Zhao Y,Wang YP,Qiu GX,Zhao H,Zhang JG,Zhou X

    更新日期:2010-11-01 00:00:00

  • Expression of soluble Toll-like receptors in pleural effusions.

    abstract:BACKGROUND:The Toll-like receptors (TLRs) represent a group of single-pass transmembrane receptors expressed on sentinel cells that are central to innate immune responses.The aim of this study was to investigate the presence of soluble TLRs in pleural effusions, and the diagnostic values of TLRs for pleural effusion wi...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Yang HB,Xie KQ,Deng JM,Qin SM

    更新日期:2010-08-01 00:00:00

  • Microarray analysis of extracellular matrix genes expression in myocardium of mouse with Coxsackie virus B3 myocarditis.

    abstract:BACKGROUND:Extracellular matrix (ECM) orchestrates cell behaviour including growth, death, apoptosis, adhesion, migration, and invasion by activating several signalling pathways. Certain components of ECM, such as integrins, may act as receptors or co-receptors of enterovirus. ECM-activated gene expressions in myocardi...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Zhang ZC,Li SJ,Yang YZ,Chen RZ,Ge JB,Chen HZ

    更新日期:2004-08-01 00:00:00

  • Mechanisms of selective head cooling for resuscitating damaged neurons during post-ischemic reperfusion.

    abstract:OBJECTIVE:To evaluate the efficacy and the mechanism of application of selective head cooling on neuronal morphological damage during postischemic reperfusion in a rabbit model. METHODS:168 New Zealand rabbits were randomized into three groups. Group I [n = 24, (38 +/- 0.5) degrees C, non-ischemic control]; Group II [...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Duan M,Li D,Xu J

    更新日期:2002-01-01 00:00:00

  • Quantitative differentiation of dendritic cells in lung tissues of smokers with and without chronic obstructive pulmonary disease.

    abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is thought to be an inflammatory immune response disease. In most cases, the disease is caused by cigarette smoke, but it has been demonstrated that only 10% to 20% of smokers will definitely suffer from COPD. Dendritic cells (DCs) are considered to be the promote...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Su YW,Xu YJ,Liu XS

    更新日期:2010-06-01 00:00:00

  • Total knee arthroplasty using computer assisted navigation in patients with severe valgus deformity of the knee.

    abstract:BACKGROUND:Severe valgus deformity often has bone defect and laxity of the medial ligamentous, and total knee arthroplasty in severe valgus knee is, in most cases, more challenging for surgeons. The usefulness of a computer assisted navigation system in reestablishing the mechanical axis has been well established. Henc...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Shao JJ,Zhang XL,Wang Q,Chen YS,Shen H,Jiang Y

    更新日期:2010-10-01 00:00:00

  • Comparison of Dot-ELISA with Sandwich ELISA in detecting circulating antigen in patients with bancroftian filariasis.

    abstract::Dot-ELISA assay was compared with standard Sandwich ELISA in detecting parasite antigen in sera from patients with bancroftian filariasis. The same monoclonal antibody and the same serum samples were used in both assays. With Dot-ELISA, 67 of 70 serum samples from microfilaremic patients were positive at a dilution of...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Zheng HJ,Fuhrman JA,Xu M,Cheng WF,Reddy MV,Piessens WF

    更新日期:1990-09-01 00:00:00

  • Hemodynamic effect of norepinephrine and serotonin with and without indomethacin.

    abstract::Injections of serotonin (5-HT) into the aortic arch of rats caused greater reductions of blood pressure (BP) and less increases in renal vascular resistance (RVR) than that into jugular veins, in contrast to norepinephrine (NE) which tended to cause larger increases in BP and RVR by the intra-aortic route. Indomethaci...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Ding XR,Stier C Jr,Harold I

    更新日期:1989-06-01 00:00:00

  • Long-term follow-up study of 72 patients with transient ischemic attacks.

    abstract:OBJECTIVE:To observe the long-term follow-up of 72 patients with transient ischemic attack (TIA) and evaluate the clinical significance of neurovascular surgical indication. METHODS:Seventy-two patients with TIA collected from years 1959 to 1977 were followed up by means of face-to-face communication with the patients...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Gong T,Wang X

    更新日期:2001-12-01 00:00:00

  • Comparative study of perpendicular versus parallel double plating methods for type C distal humeral fractures.

    abstract:BACKGROUND:Double plate osteosynthesis is the standard treatment for intra-articular fractures of the distal humerus. However, there is still controversy concerning dual plate positions in terms of providing optimal stability. The purpose of this retrospective study was to compare the clinical outcomes in patients with...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Lan X,Zhang LH,Tao S,Zhang Q,Liang XD,Yuan BT,Xu WP,Yin P,Tang PF

    更新日期:2013-06-01 00:00:00

  • Evaluation on therapeutic effects of orthotopic liver transplantation by megnetic resonance imaging in patients with portal hypertension.

    abstract:BACKGROUND:Orthotopic liver transplantation (OLT) has become the therapeutic option of choice for end-stage liver disease. The aim of this study was to investigate the changes of splenic morphology, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), apparent diffusion coefficient (ADC) values and explore their...

    journal_title:Chinese medical journal

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Wang J,Liang Y,Yan R,Jiang Z,Liu J,Hu B,He B,Ren L,Chen J,Shan H

    更新日期:2014-01-01 00:00:00

  • Subclavian steal syndrome: report of 28 cases.

    abstract:OBJECTIVE:To study the experience in the treatment of subclavian steal syndrome (SSS) and the relation between SSS and the damage of brain. METHODS:In 28 patients with SSS, 23 were operated on. They complained of vertigo, TIA, and claudication of arms. One patient suffered from severe stem ischemia spasm. All the pati...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Guan H,Liu C,Yu Z

    更新日期:1999-11-01 00:00:00

  • Surgical treatment for vascular anomalies and tracheoesophageal compression.

    abstract:BACKGROUND:Vascular rings are uncommon anomalies in which preferred strategies for diagnosis and management may vary among institutions. In this study, we reported our approach and a review of our 5-year experience. METHODS:From May 2006 to April 2011, 45 children (31 boys) with vascular rings underwent surgical repai...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Bai S,Li XF,Liu CX,Peng Y,Yuan F,Guo J,Song ZJ,Novick WM,Li ZZ

    更新日期:2012-04-01 00:00:00

  • Ephrin-A2 and -A3 are negative regulators of the regenerative potential of Möller cells.

    abstract:BACKGROUND:In a previous study, we demonstrated that ephrin-A2 and -A3 negatively regulate the growth of neural progenitor cells in the central nervous system. Adult mice deficient in ephrin-A2 and -A3 (A2(-/-)A3(-/-)) displayed active ongoing neurogenesis throughout the brain, and mice deficient in ephrin-A3 alone sho...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Zhu R,Cho KS,Chen DF,Yang L

    更新日期:2014-01-01 00:00:00

  • Volatile anesthetics inhibit the activity of calmodulin by interacting with its hydrophobic site.

    abstract:BACKGROUND:Volatile anesthetics (VAs) may affect varied and complex physiology processes by manipulating Ca(2+)-calmodulin (CaM). However, the detailed mechanism about the action of VAs on CaM has not been elucidated. This study was undertaken to examine the effects of VAs on the conformational change, hydrophobic site...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Zhou MM,Xia HM,Liu J,Xu YN,Xin NX,Zhang SH

    更新日期:2012-09-01 00:00:00

  • Effects of rhubarb on the expression of glucocorticoids receptor and regulation of cellular immunity in burn-induced septic rats.

    abstract:BACKGROUND:It is important to modulate the expression of glucocorticoids receptor (GR) in tress and maintain the immunity homeostasis in sepsis process. Rhubarb have been shown to have potential effects on anti-inflammatory and immune modulation. The present study was designed to investigate the effects of rhubarb on t...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:10.1097/CM9.0000000000000201

    authors: Liu J,Li G,Chen YZ,Zhang LD,Wang T,Wen ZL,Wang L,Chen DC

    更新日期:2019-05-20 00:00:00

  • Performance of K-ras mutation analysis plus endoscopic ultrasound-guided fine-needle aspiration for differentiating diagnosis of pancreatic solid mass: a meta-analysis.

    abstract:BACKGROUND:Difficulties persist in differentiating pancreatic ductal adenocarcinomas (PDAC) from pancreatic inflammatory masses (PIM). Auxiliary diagnostic techniques which enhance the endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) diagnostic yield have been attempted, for example, K-ras mutation analysi...

    journal_title:Chinese medical journal

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Xu Y,Hu D,Zhu Q,Sun Y

    更新日期:2014-01-01 00:00:00

  • Side effects and tolerability of post-exposure prophylaxis with zidovudine, lamivudine, and lopinavir/ritonavir: a comparative study with HIV/AIDS patients.

    abstract:BACKGROUND:In the era of highly active antiretroviral therapy (HAART), the use of antiretrovirals as post-exposure prophylaxis (PEP) was the most important strategy for preventing occupational exposure to blood or fluids containing human immunodeficiency virus (HIV). The objective of this study was to retrospectively e...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Cai J,Xiao J,Zhang Q

    更新日期:2014-01-01 00:00:00

  • A Gene Scan Study of RPE65 in Chinese Patients with Leber Congenital Amaurosis.

    abstract:BACKGROUND:Leber congenital amaurosis (LCA) is a visual disease which is caused by RPE65 mutations and results in retinal degeneration and severe vision loss in early infancy. According to previous researches, mutations of the RPE65 gene account for 16% of all cases of LCA. This study aimed to identify RPE65 gene mutat...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:10.4103/0366-6999.218007

    authors: Liu J,Bu J

    更新日期:2017-11-20 00:00:00

  • Safety and feasibility of transulnar versus transradial artery approach for coronary catheterization in non-selective patients.

    abstract:BACKGROUND:Transradial approach catheterization is now widely used in coronary angiography and angioplasty. The ulnar artery, which is one of the two terminal branches of the brachial artery, may be a potential approach for cardiac catheterization. The aim of this study was to evaluate the safety and feasibility of a t...

    journal_title:Chinese medical journal

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Geng W,Fu X,Gu X,Jiang Y,Fan W,Wang Y,Li W,Xing K,Liu C

    更新日期:2014-01-01 00:00:00

  • Construction of adeno-associated virus coexpression system for human angiopoietin-1 and VEGF gene.

    abstract:BACKGROUND:Ischemic disease is one of the leading causes of death in the world. In order to further study gene therapy for ischemic disease, we constructed a recombinant plasmid for co-expression of human angiopoietin-1 and vascular endothelial growth factor 165(VEGF165) gene in adeno-associated virus (AAV) gene delive...

    journal_title:Chinese medical journal

    pub_type: 杂志文章

    doi:

    authors: Chen DJ,Tan Z,Xie YL,Liu F

    更新日期:2004-04-01 00:00:00

  • Calcium channel blockers in cirrhotic patients with portal hypertension.

    abstract::Four calcium channel blockers, i.e. nifedipine, verapamil, cinnarizine and tetrandrine are currently available and used widely in treating cardiovascular diseases. To confirm the effects, if any, of calcium channel blockers on cirrhotic patients with portal hypertension, a study was performed on esophageal variceal pr...

    journal_title:Chinese medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Li D,Lu H,Li X,Quan Q,Li X,Lu W

    更新日期:1995-11-01 00:00:00