Acute Sinus Node Dysfunction after Atrial Ablation: Incidence, Risk Factors, and Management

Acute Sinus Node Dysfunction after Atrial Ablation: Incidence, Risk Factors, and Management

Background Many patients with atrial fibrillation (AF) or atrial flutter (Aflutter) have concomitant sinus node dysfunction (SND). Ablation may result in injury to the sinus node complex or its blood supply resulting in sinus arrest and need for temporary pacing. We sought to characterize patients w...

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Veröffentlicht in:Pacing and clinical electrophysiology 2016-10, Vol.39 (10), p.1116-1125
Hauptverfasser: KILLU, AMMAR M., FENDER, ERIN A., DESHMUKH, ABHISHEK J., MUNGER, THOMAS M., ARAOZ, PHILIP, BRADY, PETER A., CHA, YONG-MEI, PACKER, DOUGLAS L., FRIEDMAN, PAUL A., ASIRVATHAM, SAMUEL J., NOSEWORTHY, PETER A., MULPURU, SIVA K.
Format: Artikel
Sprache:eng
Schlagworte:
ablation
Acute Disease
Aged
atrial fibrillation
Atrial Fibrillation - surgery
Atrial Flutter - surgery
Endometrial Ablation Techniques - adverse effects
Endometrial Ablation Techniques - methods
Humans
Male
Middle Aged
pacemaker
Pacemaker, Artificial
Positron Emission Tomography Computed Tomography
Postoperative Complications
Retrospective Studies
Sinoatrial Node - diagnostic imaging
Sinus Arrest, Cardiac - etiology
sinus node dysfunction
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Zusammenfassung:Background Many patients with atrial fibrillation (AF) or atrial flutter (Aflutter) have concomitant sinus node dysfunction (SND). Ablation may result in injury to the sinus node complex or its blood supply resulting in sinus arrest and need for temporary pacing. We sought to characterize patients who develop acute SND (ASND) during/immediately after AF/Aflutter ablation. Methods We performed a retrospective analysis of AF/Aflutter ablation patients between January 1, 2010 and February 28, 2015 to characterize those who required temporary pacemaker (TPM) implantation due to ASND (sinus arrest, sinus bradycardia
ISSN:0147-8389
1540-8159
DOI:10.1111/pace.12934