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Presence and extent of coronary artery disease as predictor for AF recurrences after catheter ablation: The Leipzig Heart Center AF Ablation Registry.

Abstract：

BACKGROUND:Occlusion of the right coronary artery (RCA) may promote atrial fibrillation (AF) by creating a right atrial substrate. However, the presence and extent of coronary artery disease (CAD) is usually not considered to tailor AF ablation strategies. This study was aimed to analyze the possible association between the presence and extent of CAD and rhythm outcomes of left-atrial AF catheter ablation. METHODS:1310 patients (60 ± 10 years, 67% males, 63% paroxysmal AF) from The Leipzig Heart Center AF Ablation Registry undergoing de novo AF catheter ablation were included. CAD was defined as stenosis ≥ 50% in the left main coronary artery and ≥ 70% in one or several of the major coronary arteries. AF recurrences were defined as any atrial arrhythmia lasting >30s and occurring within the first week (early recurrences, ERAF) or between 3 and 12 months (late recurrences, LRAF) after ablation and were assessed with serial 7-day Holter ECG. RESULTS:152 patients (11.6%) had significant CAD; 89 (59%) had one, 35 (23%) two and 28 (18%) three vessel disease; 72 (47%) patients had RCA involvement. Occurrence of AF recurrences was comparable in CAD (p=0.625 and 0.568 for ERAF and LRAF, respectively). Among patients with CAD, neither the location (RCA versus non-RCA) nor the extent of CAD (single versus multiple vessel disease) was associated with rhythm outcomes after AF catheter ablation (all p>0.05). CONCLUSION:The presence and extent of CAD seem not to impact on rhythm outcome of AF catheter ablation in the entire cohort.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Kornej J,Hindricks G,Arya A,Sommer P,Husser D,Rolf S,Bollmann A

doi

10.1016/j.ijcard.2014.12.039

subject

Has Abstract

pub_date

2015-02-15 00:00:00

pages

188-92

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(14)02448-6

journal_volume

181

pub_type

杂志文章

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