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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 346 - 357 (12page)
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초록· 키워드
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Background and Objectives: The objective of this study was to evaluate the long-term clinical outcomes and the incidence of permanent pacemaker implantation after catheter ablation in patients with of atrial fibrillation (AF) and sinus node dysfunction (SND). Methods: Among 3,068 total consecutive patients who underwent AF catheter ablation (AFCA), this study included 222 (9.5%; men 53.2%, 63.7±9.2 years of age, 81.5% paroxysmal AF) with underlying SND and a regular rhythm follow-up. We analyzed the rhythm outcomes, changes in the mean heart rate or heart rate variability, and permanent pacemaker implantation rate. Results: During 47.5±28.8 months of follow-up, 25 (11.3%) patients received pacemaker implantations due to symptomatic SND. More than half (56.0%, 14/25) underwent a pacemaker implantation within 3 months of the AFCA, and the annual pacemaker implantation rate was 2.0% afterwards. Both the early (68.0% vs. 31.0%, p<0.001) and clinical AF recurrence (68.0% vs. 32.5%, p=0.001) rates and continuous antiarrhythmic drug use after 3 months (44.0% vs. 24.4%, p=0.036) were significantly higher in patients requiring pacemaker implantations than those that did not. An anterior linear ablation (odds ratio [OR], 9.37 [3.03–28.9]; p<0.001) and the E/Em (OR, 1.15 [1.02–1.28]; p=0.018) were independently associated with permanent pacemaker implantations after AFCA in patients with AF and SND. Conclusions: After AFCA in patients with AF and SND, 1 of 9 patients needed a pacemaker implantation and half needed implantations within 3 months. The AF recurrence rate was significantly higher in those who required pacemaker implantations after the AFCA.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Nielsen JC / 2011 / A comparison of single-lead atrial pacing with dual-chamber pacing in sick sinus syndrome / Eur Heart J 32:686~696
Lamas GA / 2000 / The mode selection trial(MOST)in sinus node dysfunction : design, rationale, and baseline characteristics of the first 1000 patients / Am Heart J 140:541~551
Chang HY / 2013 / Sinus node dysfunction in atrial fibrillation patients : the evidence of regional atrial substrate remodelling / Europace 15:205~211
Hocini M / 2003 / Reverse remodeling of sinus node function after catheter ablation of atrial fibrillation in patients with prolonged sinus pauses / Circulation 108:1172~1175
Chen YW / 2014 / Pacing or ablation: which is better for paroxysmal atrial fibrillation-related tachycardia-bradycardia syndrome? / Pacing Clin Electrophysiol 37:403~411
Lamas GA / 2000 / The mode selection trial(MOST)in sinus node dysfunction : design, rationale, and baseline characteristics of the first 1000 patients / Am Heart J 140:541~551
Chang HY / 2013 / Sinus node dysfunction in atrial fibrillation patients : the evidence of regional atrial substrate remodelling / Europace 15:205~211
Hocini M / 2003 / Reverse remodeling of sinus node function after catheter ablation of atrial fibrillation in patients with prolonged sinus pauses / Circulation 108:1172~1175
Chen YW / 2014 / Pacing or ablation: which is better for paroxysmal atrial fibrillation-related tachycardia-bradycardia syndrome? / Pacing Clin Electrophysiol 37:403~411
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