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Open Access. Powered by Scholars. Published by Universities.®

Cardiology

HCA Healthcare

2020

PeAF

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Full-Text Articles in Medicine and Health Sciences

Ablation Of Persistent Atrial Fibrillation Substrate In Sinus Rhythm Does Not Lead To An Underestimation Of Fibrotic Atrial Myopathy: A Pilot Study, David Goldgrab Do, Sokol Kalaveshi Md, Jose Luis Henao Md, Ruifang Yang Md, Jearim Craig, Stephen Mester Md, Christian Perzanowski Md Jan 2020

Ablation Of Persistent Atrial Fibrillation Substrate In Sinus Rhythm Does Not Lead To An Underestimation Of Fibrotic Atrial Myopathy: A Pilot Study, David Goldgrab Do, Sokol Kalaveshi Md, Jose Luis Henao Md, Ruifang Yang Md, Jearim Craig, Stephen Mester Md, Christian Perzanowski Md

Cardiology

Introduction | Objectives: Ablation of persistent atrial fibrillation (peAF) is associated with a worse outcome. Fibrotic atrial myopathy (FAM) is thought to play a role in the progression of AF. Estimation of left atrial voltage can vary significantly based on whether mapping is performed in fibrillatory conduction or sinus rhythm (SR). Selection of a voltage scale (VS) may lead to an over/under estimation of FAM. We determined the prevalence of advanced atrial myopathy (FAM > = 2) in SR compared to historical cohort ablated in peAF.

Methods: A homogenous group of peAF patients who underwent ablation in SR following cardioversion were …


Cardioversion Of Persistent Atrial Fibrillation Before High Energy Ablation Does Not Improve Outcomes In Short Term Follow Up: Preliminary Analysis, Ruifang Yang Md, Sokol Kalaveshi Md, David Goldgrab Do, Jose Luis Henao Md, Stephen Mester Md, Christian Perzanowski Md Jan 2020

Cardioversion Of Persistent Atrial Fibrillation Before High Energy Ablation Does Not Improve Outcomes In Short Term Follow Up: Preliminary Analysis, Ruifang Yang Md, Sokol Kalaveshi Md, David Goldgrab Do, Jose Luis Henao Md, Stephen Mester Md, Christian Perzanowski Md

Cardiology

Introduction | Objectives: The optimal approach of ablating persistent Atrial Fibrillation (peAF) has yet to be defined. By convention, mapping/ablation of peAF is most often performed in AF. The success of ablation hinges on catheter contact and achieving lesion transmurality. We theorized that ablation efficacy would improve during sinus rhythm (SR) given stability and predictability of catheter contact.

Methods: Non‐randomized comparison of peAF patients who underwent ablation in SR under a new practice protocol versus a cohort of peAF ablated in AF. The lesion set was the same for both groups, WACA ± BOX. Study group was treated with higher …