Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation
Typical atrial flutter commonly occurs in patients with atrial fibrillation (AF). Limited information exists regarding the effects of concurrent atrial flutter on the long-term outcomes of rhythm control. This study investigated the association between concurrent typical atrial flutter and cavotricu...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1303635/full |
| _version_ | 1797390170165608448 |
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| author | Joo Hee Jeong Hyoung Seok Lee Yun Young Choi Yun Gi Kim Jong-Il Choi Young-Hoon Kim Hong Euy Lim Il-Young Oh Myung-Jin Cha So-Ryoung Lee Ju Youn Kim Chang Hee Kwon Sung Ho Lee Junbeom Park Ki-Hun Kim Pil-Sung Yang Jun-Hyung Kim Jaemin Shim |
| author_facet | Joo Hee Jeong Hyoung Seok Lee Yun Young Choi Yun Gi Kim Jong-Il Choi Young-Hoon Kim Hong Euy Lim Il-Young Oh Myung-Jin Cha So-Ryoung Lee Ju Youn Kim Chang Hee Kwon Sung Ho Lee Junbeom Park Ki-Hun Kim Pil-Sung Yang Jun-Hyung Kim Jaemin Shim |
| author_sort | Joo Hee Jeong |
| collection | DOAJ |
| description | Typical atrial flutter commonly occurs in patients with atrial fibrillation (AF). Limited information exists regarding the effects of concurrent atrial flutter on the long-term outcomes of rhythm control. This study investigated the association between concurrent typical atrial flutter and cavotricuspid isthmus (CTI) ablation and the recurrence of atrial arrhythmia. The data were obtained from a multicenter registry of cryoballoon ablation for AF (n = 2,689). Patients who were screened for typical atrial flutter were included in the analysis (n = 1,907). All the patients with typical atrial flutter underwent CTI ablation. The primary endpoint was the late recurrence of atrial arrhythmia, including AF, atrial flutter, and atrial tachycardia. Among the 1,907 patients, typical atrial flutter was detected in 493 patients (25.9%). Patients with concurrent atrial flutter had a lower incidence of persistent AF and a smaller size of the left atrium. Patients with atrial flutter had a significantly lower recurrence rate of atrial arrhythmia (19.7% vs. 29.9%, p < 0.001). In patients with atrial flutter, the recurrence rate of atrial tachycardia or atrial flutter was more frequent (7.3% vs. 4.7%, p = 0.028), but the recurrence rate of AF was significantly lower (17.0% vs. 29.4%, p < 0.001). Atrial flutter has been identified as an independent predictor of the primary endpoint (adjusted hazard ratio, 0.704; 95% confidence interval, 0.548–0.906; p = 0.006). Typical atrial flutter in patients with AF may serve as a positive marker of the recurrence of atrial arrhythmia, and performing CTI ablation in this population is associated with a reduced likelihood of AF recurrence. Performing routine screening and ablation procedures for coexisting atrial flutter may improve the clinical outcomes of AF. |
| first_indexed | 2024-03-08T23:07:47Z |
| format | Article |
| id | doaj.art-cb1c7fcb1d3d4e6bacc0b582d17e1b54 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-08T23:07:47Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-cb1c7fcb1d3d4e6bacc0b582d17e1b542023-12-15T10:57:02ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-12-011010.3389/fcvm.2023.13036351303635Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillationJoo Hee Jeong0Hyoung Seok Lee1Yun Young Choi2Yun Gi Kim3Jong-Il Choi4Young-Hoon Kim5Hong Euy Lim6Il-Young Oh7Myung-Jin Cha8So-Ryoung Lee9Ju Youn Kim10Chang Hee Kwon11Sung Ho Lee12Junbeom Park13Ki-Hun Kim14Pil-Sung Yang15Jun-Hyung Kim16Jaemin Shim17Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Republic of KoreaDivision of Cardiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of KoreaCardiovascular Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of KoreaHeart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Cardiology, School of Medicine, Ewha Womans University, Seoul, Republic of Korea0Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea1Department of Cardiology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea2Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Republic of KoreaTypical atrial flutter commonly occurs in patients with atrial fibrillation (AF). Limited information exists regarding the effects of concurrent atrial flutter on the long-term outcomes of rhythm control. This study investigated the association between concurrent typical atrial flutter and cavotricuspid isthmus (CTI) ablation and the recurrence of atrial arrhythmia. The data were obtained from a multicenter registry of cryoballoon ablation for AF (n = 2,689). Patients who were screened for typical atrial flutter were included in the analysis (n = 1,907). All the patients with typical atrial flutter underwent CTI ablation. The primary endpoint was the late recurrence of atrial arrhythmia, including AF, atrial flutter, and atrial tachycardia. Among the 1,907 patients, typical atrial flutter was detected in 493 patients (25.9%). Patients with concurrent atrial flutter had a lower incidence of persistent AF and a smaller size of the left atrium. Patients with atrial flutter had a significantly lower recurrence rate of atrial arrhythmia (19.7% vs. 29.9%, p < 0.001). In patients with atrial flutter, the recurrence rate of atrial tachycardia or atrial flutter was more frequent (7.3% vs. 4.7%, p = 0.028), but the recurrence rate of AF was significantly lower (17.0% vs. 29.4%, p < 0.001). Atrial flutter has been identified as an independent predictor of the primary endpoint (adjusted hazard ratio, 0.704; 95% confidence interval, 0.548–0.906; p = 0.006). Typical atrial flutter in patients with AF may serve as a positive marker of the recurrence of atrial arrhythmia, and performing CTI ablation in this population is associated with a reduced likelihood of AF recurrence. Performing routine screening and ablation procedures for coexisting atrial flutter may improve the clinical outcomes of AF.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1303635/fullcryoballoon ablationcavotricuspid isthmusatrial fibrillationatrial flutterradiofrequency ablation |
| spellingShingle | Joo Hee Jeong Hyoung Seok Lee Yun Young Choi Yun Gi Kim Jong-Il Choi Young-Hoon Kim Hong Euy Lim Il-Young Oh Myung-Jin Cha So-Ryoung Lee Ju Youn Kim Chang Hee Kwon Sung Ho Lee Junbeom Park Ki-Hun Kim Pil-Sung Yang Jun-Hyung Kim Jaemin Shim Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation Frontiers in Cardiovascular Medicine cryoballoon ablation cavotricuspid isthmus atrial fibrillation atrial flutter radiofrequency ablation |
| title | Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation |
| title_full | Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation |
| title_fullStr | Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation |
| title_full_unstemmed | Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation |
| title_short | Association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation |
| title_sort | association of typical atrial flutter and cavotricuspid isthmus ablation on clinical recurrence after cryoballoon ablation for atrial fibrillation |
| topic | cryoballoon ablation cavotricuspid isthmus atrial fibrillation atrial flutter radiofrequency ablation |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1303635/full |
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