Impact of catheter ablation for paroxysmal atrial fibrillation in patients with sick sinus syndrome
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- Hayashi Kentaro
- Department of Cardiology, Kokura Memorial Hospital
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- Fukunaga Masato
- Department of Cardiology, Kokura Memorial Hospital
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- Yamaji Kyohei
- Department of Cardiology, Kokura Memorial Hospital
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- An Yoshimori
- Department of Cardiology, Kokura Memorial Hospital
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- Nagashima Michio
- Department of Cardiology, Kokura Memorial Hospital
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- Hiroshima Kenichi
- Department of Cardiology, Kokura Memorial Hospital
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- Ohe Masatsugu
- Department of Cardiology, Kokura Memorial Hospital
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- Makihara Yu
- Department of Cardiology, Kokura Memorial Hospital
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- Yamashita Kennosuke
- Department of Cardiology, Kokura Memorial Hospital
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- Ando Kenji
- Department of Cardiology, Kokura Memorial Hospital
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- Iwabuchi Masashi
- Department of Cardiology, Kokura Memorial Hospital
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- Goya Masahiko
- Department of Cardiology, Kokura Memorial Hospital
書誌事項
- タイトル別名
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- Impact of Catheter Ablation for Paroxysmal Atrial Fibrillation in Patients With Sick Sinus Syndrome – Important Role of Non-Pulmonary Vein Foci –
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Background:The clinical efficacy of catheter ablation (CA) for paroxysmal atrial fibrillation (PAF) in patients with sick sinus syndrome (SSS) and the mechanism and predictors of recurrence are not yet completely elucidated.Methods and Results:Of 963 consecutive patients who underwent PAF ablation during the study period, a total of 108 patients with SSS (SSS group) and 108 matched controls without SSS (non-SSS group) were followed up. During the follow-up period (mean, 32.8±17.5 months), the SSS group had significantly higher AF recurrence rate since the last procedure than the non-SSS group (26.9% vs. 12.0%; P=0.02). The SSS group had significantly higher prevalence of non-pulmonary vein (non-PV) foci than the non-SSS group (25.9% vs. 13.9%; P=0.027). On multivariate analysis congestive heart failure (HR, 13.7; 95% CI: 1.57–119; P=0.02) and non-PV foci (HR, 5.75; 95% CI: 1.69–19.6; P=0.005) were independent predictors of recurrence following CA in the SSS group. In the SSS group, 88 patients had bradycardia-tachycardia syndrome without prior permanent pacemaker implantation. Of these, 6 required pacemaker implantation because of AF and sinus pause recurrence.Conclusions:Patients with SSS are at higher risk of AF recurrence after CA. Non-PV foci are associated with AF recurrence following PAF with SSS. (Circ J 2016; 80: 887–894)
収録刊行物
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- Circulation Journal
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Circulation Journal 80 (4), 887-894, 2016
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205109033984
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- NII論文ID
- 130005139556
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 027203012
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- PubMed
- 26936115
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可