Higher Pulmonary Arterial Pressure Was Related to Non-Pulmonary Vein Atrial Tachyarrhythmia

Lee, Wei-Chieh; Watanabe, Masaya; Yokoshiki, Hisashi; Temma, Taro; Kamada, Rui; Hagiwara, Hikaru; Takahashi, Yumi; Koya, Taro; Nakao, Motoki; Anzai, Toshihisa

Higher Pulmonary Arterial Pressure Was Related to Non-Pulmonary Vein Atrial Tachyarrhythmia

Lee, Wei-Chieh; Watanabe, Masaya; Yokoshiki, Hisashi et al.

International heart journal, 2020, 61(6), 1150-1156

Permalink : https://hdl.handle.net/2115/80632

このアイテムのアクセス数:605件（2026-10-10 21:32 集計）

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https://doi.org/10.1536/ihj.20-214			17

論文情報

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アクセス権	open access
URI	https://hdl.handle.net/2115/80632
タイトル	Higher Pulmonary Arterial Pressure Was Related to Non-Pulmonary Vein Atrial Tachyarrhythmia
著者	Lee, Wei-Chieh ; Watanabe, Masaya ; Yokoshiki, Hisashi ; Temma, Taro ; Kamada, Rui ; Hagiwara, Hikaru ; Takahashi, Yumi ; Koya, Taro ; Nakao, Motoki ; Anzai, Toshihisa
著者名 Lee, Wei-Chieh
e-Rad_Researcher 40632047 著者名 Watanabe, Masaya
e-Rad_Researcher 40360911 著者名 Yokoshiki, Hisashi
e-Rad_Researcher 00801614 著者名 Temma, Taro
e-Rad_Researcher 60836104 著者名 Kamada, Rui
著者名 Hagiwara, Hikaru
著者名 Takahashi, Yumi
著者名 Koya, Taro
著者名 Nakao, Motoki
e-Rad_Researcher 60232089 著者名 Anzai, Toshihisa
言語	英語
キーワード	Atrial fibrillation
	Recurrence
	Atrial tachycardia
	Pulmonary vein isolation
	Catheter ablation
発行日	2020-11
出版者	International Heart Journal Association
収録物名	International heart journal
巻(号)	61(6)
ページ	1150-1156
抄録	Recurrence of atrial tachyarrhythmias (ATA) following catheter ablation for atrial fibrillation (AF) is often associated with the recovery of conduction into previously isolated pulmonary veins (PVs). Little evidence concerning repeat PV isolation (PVI) and non-PV ATA ablation has been reported. This study aimed to explore the clinical outcome of recurrent ATA ablation after PVI and the difference between patients with and without non PV ATA. A total of 49 patients without structural heart diseases who received catheter ablation for recurrent AF between January 2014 and December 2018 were recruited (prior ablation with PVI only 71.4% and PVI with cavotricuspid isthmus line ablation 28.6%). Patients were divided into two groups according to the presence or absence of non-PV ATA. Most patients (53.1%) experienced very late recurrence with a median duration of 15 months. A total of 15 patients had non-PV ATA and received non-PV ATA ablation whereas 34 patients received only repeat PVI for reconnected PVs. A higher pulmonary arterial systolic pressure (PASP) was associated with non-PV ATA (odds ratio: 1.161; 95% confidence interval: 1.021-1.321; P = 0.023). During 4.7 +/- 1 months, 4/15 (26.7%) and 1/34 (2.9%) patients with and without non-PV ATA, respectively, had ATA recurrence (P = 0.011). The cumulative incidence of ATA recurrence after repeat ablation was significantly lower in patients without non-PV ATA (P = 0.013). In our study, a high PASP was associated with non-PV ATA in patients with recurrent AF. Repeat PVI had a high rate of maintenance of sinus rhythm in patients without non-PV ATA.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
PISSN	1349-2365
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1536/ihj.20-214