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Ablation for atrial fibrillation: Termination of atrial fibrillation is not the end point

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单位: [a]Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, United States [b]University of Foggia, Foggia, Italy [c]Division of Cardiology, Stanford University, 300 Pasteur Dr MC 5319, A260, Stanford, CA 94305, United States [d]Department of Internal Medicine, Tong-Ji Hospital, Tong-Ji Medical College, Huazhong University of Science and Technology, Wuhan, China [e]Faculty of Medicine, Heart Institute, University of Pecs, Pecs, Hungary [f]Case Western Reserve University, Cleveland, OH, United States [g]Interventional Electrophysiology, Scripps Clinic, San Diego, CA, United States [h]EP Services, California Pacific Medical Center, San Francisco, CA, United States
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关键词: Catheter ablation Nonparoxysmal atrial fibrillation Procedural end point Pulmonary vein isolation

摘要:
Permanent pulmonary vein isolation constitutes the main procedural goal of current approaches to atrial fibrillation (AF) catheter ablation, with established effectiveness as a stand-alone procedure in most patients with paroxysmal AF. In patients with AF of longer duration, however, the definition of the optimal procedural end point is still controversial. Based on analysis of data from 16 studies that have assessed the value of AF termination in predicting long-term procedural success, it is concluded that AF termination clearly represents an unreliable procedural end point during ablation of nonparoxysmal AF. © 2012 Elsevier Inc..

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第一作者单位: [a]Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, United States [b]University of Foggia, Foggia, Italy
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通讯机构: [a]Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, United States [c]Division of Cardiology, Stanford University, 300 Pasteur Dr MC 5319, A260, Stanford, CA 94305, United States [f]Case Western Reserve University, Cleveland, OH, United States [g]Interventional Electrophysiology, Scripps Clinic, San Diego, CA, United States [h]EP Services, California Pacific Medical Center, San Francisco, CA, United States
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