Distribution of triggers foci and outcomes of catheter ablation in atrial fibrillation patients in different age groups
Background Atrial fibrillation (AF) prevalence increases with age. Aging affects the substrate properties of the left atrium (LA) and the outcomes of catheter ablation for treating AF. We investigated the AF trigger distribution and catheter ablation outcomes in patients of different ages with AF. M...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2021-10, Vol.44 (10), p.1724-1732 |
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| creator | Lin, Chung‐Hsing Chang, Shih‐Lin Lin, Yenn‐Jiang Lo, Li‐Wei Hu, Yu‐Feng Chung, Fa‐Po Chao, Tze‐Fan Lin, Chin‐Yu Tuan, Ta‐Chuan Liao, Jo‐Nan Kuo, Ling Chang, Ting‐Yung Li, Hsing‐Yuan Huang, Ting‐Chung Chuang, Chieh‐Mao Vicera, Jennifer Jeanne Chen, Shih‐Ann |
| description | Background
Atrial fibrillation (AF) prevalence increases with age. Aging affects the substrate properties of the left atrium (LA) and the outcomes of catheter ablation for treating AF. We investigated the AF trigger distribution and catheter ablation outcomes in patients of different ages with AF.
Methods
1585 patients with AF (1181 paroxysmal and 404 non‐ paroxysmal AF) who had undergone catheter ablation were enrolled. The patients were divided into young (20–40 year‐old, n = 175), middle‐aged (41–64 year‐old, n = 1134), and old (≥ 65 year‐old, n = 276) groups. Electrophysiological characteristics and AF trigger sites were recorded.
Result
The incidence of AF with only non‐pulmonary vein (non‐PV) foci was higher in the young group than in the other groups (8.6% vs. 3.6% vs. 3.3%, p |
| doi_str_mv | 10.1111/pace.14347 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2566038753</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2579370486</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3577-1bab76498b2442fe755e662b93c8751ee42194bc7bafcda2412cdaa59fc4d6593</originalsourceid><addsrcrecordid>eNp9kU1r3DAQhkVpaDYfl_yAIuglBJxIlmRZx2XzCYHk0J6NJI-2WryWK9mE_Pto400POUSXl5l55mXQi9AZJZc0v6tBW7iknHH5DS2o4KSoqVDf0YJQLoua1eoQHaW0IYRUhIsf6JBxzhVR5QK9XPs0Rm-m0YceB4dzsV5DTNgF67HuWxym0YYtpN3U6vEvjBCxNp1-X_E91nlHd9h5E323bw9ZoB_Tbt565yDmCus14HUM05BO0IHTXYLTvR6jP7c3v1f3xePT3cNq-VhYJqQsqNFGVlzVpuS8dCCFgKoqjWK2loIC8JIqbqw02tlWl5yWWbRQzvK2Eoodo_PZd4jh3wRpbLY-Wchn9hCm1JSiqgjLXiyjvz6hmzDFPl-XKamYJLyuMnUxUzaGlCK4Zoh-q-NrQ0mzi6PZxdG8x5Hhn3vLyWyh_Y9-_H8G6Ay8-A5ev7Bqnperm9n0DbJmlow</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2579370486</pqid></control><display><type>article</type><title>Distribution of triggers foci and outcomes of catheter ablation in atrial fibrillation patients in different age groups</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Lin, Chung‐Hsing ; Chang, Shih‐Lin ; Lin, Yenn‐Jiang ; Lo, Li‐Wei ; Hu, Yu‐Feng ; Chung, Fa‐Po ; Chao, Tze‐Fan ; Lin, Chin‐Yu ; Tuan, Ta‐Chuan ; Liao, Jo‐Nan ; Kuo, Ling ; Chang, Ting‐Yung ; Li, Hsing‐Yuan ; Huang, Ting‐Chung ; Chuang, Chieh‐Mao ; Vicera, Jennifer Jeanne ; Chen, Shih‐Ann</creator><creatorcontrib>Lin, Chung‐Hsing ; Chang, Shih‐Lin ; Lin, Yenn‐Jiang ; Lo, Li‐Wei ; Hu, Yu‐Feng ; Chung, Fa‐Po ; Chao, Tze‐Fan ; Lin, Chin‐Yu ; Tuan, Ta‐Chuan ; Liao, Jo‐Nan ; Kuo, Ling ; Chang, Ting‐Yung ; Li, Hsing‐Yuan ; Huang, Ting‐Chung ; Chuang, Chieh‐Mao ; Vicera, Jennifer Jeanne ; Chen, Shih‐Ann</creatorcontrib><description>Background
Atrial fibrillation (AF) prevalence increases with age. Aging affects the substrate properties of the left atrium (LA) and the outcomes of catheter ablation for treating AF. We investigated the AF trigger distribution and catheter ablation outcomes in patients of different ages with AF.
Methods
1585 patients with AF (1181 paroxysmal and 404 non‐ paroxysmal AF) who had undergone catheter ablation were enrolled. The patients were divided into young (20–40 year‐old, n = 175), middle‐aged (41–64 year‐old, n = 1134), and old (≥ 65 year‐old, n = 276) groups. Electrophysiological characteristics and AF trigger sites were recorded.
Result
The incidence of AF with only non‐pulmonary vein (non‐PV) foci was higher in the young group than in the other groups (8.6% vs. 3.6% vs. 3.3%, p < 0.01). Non‐PV foci were more commonly located in the superior vena cava (SVC) in the young group than in the other groups (13.1% vs. 7.8% vs. 6.5%, p = 0.03). The left atrium (LA) mean voltage was higher and the incidence of very late recurrence after AF ablation was lower in the young group than in the other groups. However, the final AF recurrence rate after multiple procedures and complication rates were similar among all the groups at a mean follow‐up of 5.6 years.
Conclusion
The young patients with AF had a higher incidence of only non‐PV foci, mostly located in SVC, than the middle‐aged and old patients. Our study highlights the importance of identifying the non‐PV foci in catheter ablation of young patients with AF.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.14347</identifier><identifier>PMID: 34449092</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Ablation ; Adult ; age ; Age Factors ; Aged ; Aging ; atrial Fibrillation ; Atrial Fibrillation - physiopathology ; Atrial Fibrillation - surgery ; Cardiac arrhythmia ; Catheter Ablation - methods ; Catheters ; Electrophysiologic Techniques, Cardiac ; Female ; Fibrillation ; Heart Atria - physiopathology ; Humans ; Male ; Middle Aged ; Patients ; Radiofrequency ablation ; Recurrence ; trigger foci</subject><ispartof>Pacing and clinical electrophysiology, 2021-10, Vol.44 (10), p.1724-1732</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3577-1bab76498b2442fe755e662b93c8751ee42194bc7bafcda2412cdaa59fc4d6593</citedby><cites>FETCH-LOGICAL-c3577-1bab76498b2442fe755e662b93c8751ee42194bc7bafcda2412cdaa59fc4d6593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpace.14347$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.14347$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34449092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Chung‐Hsing</creatorcontrib><creatorcontrib>Chang, Shih‐Lin</creatorcontrib><creatorcontrib>Lin, Yenn‐Jiang</creatorcontrib><creatorcontrib>Lo, Li‐Wei</creatorcontrib><creatorcontrib>Hu, Yu‐Feng</creatorcontrib><creatorcontrib>Chung, Fa‐Po</creatorcontrib><creatorcontrib>Chao, Tze‐Fan</creatorcontrib><creatorcontrib>Lin, Chin‐Yu</creatorcontrib><creatorcontrib>Tuan, Ta‐Chuan</creatorcontrib><creatorcontrib>Liao, Jo‐Nan</creatorcontrib><creatorcontrib>Kuo, Ling</creatorcontrib><creatorcontrib>Chang, Ting‐Yung</creatorcontrib><creatorcontrib>Li, Hsing‐Yuan</creatorcontrib><creatorcontrib>Huang, Ting‐Chung</creatorcontrib><creatorcontrib>Chuang, Chieh‐Mao</creatorcontrib><creatorcontrib>Vicera, Jennifer Jeanne</creatorcontrib><creatorcontrib>Chen, Shih‐Ann</creatorcontrib><title>Distribution of triggers foci and outcomes of catheter ablation in atrial fibrillation patients in different age groups</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Background
Atrial fibrillation (AF) prevalence increases with age. Aging affects the substrate properties of the left atrium (LA) and the outcomes of catheter ablation for treating AF. We investigated the AF trigger distribution and catheter ablation outcomes in patients of different ages with AF.
Methods
1585 patients with AF (1181 paroxysmal and 404 non‐ paroxysmal AF) who had undergone catheter ablation were enrolled. The patients were divided into young (20–40 year‐old, n = 175), middle‐aged (41–64 year‐old, n = 1134), and old (≥ 65 year‐old, n = 276) groups. Electrophysiological characteristics and AF trigger sites were recorded.
Result
The incidence of AF with only non‐pulmonary vein (non‐PV) foci was higher in the young group than in the other groups (8.6% vs. 3.6% vs. 3.3%, p < 0.01). Non‐PV foci were more commonly located in the superior vena cava (SVC) in the young group than in the other groups (13.1% vs. 7.8% vs. 6.5%, p = 0.03). The left atrium (LA) mean voltage was higher and the incidence of very late recurrence after AF ablation was lower in the young group than in the other groups. However, the final AF recurrence rate after multiple procedures and complication rates were similar among all the groups at a mean follow‐up of 5.6 years.
Conclusion
The young patients with AF had a higher incidence of only non‐PV foci, mostly located in SVC, than the middle‐aged and old patients. Our study highlights the importance of identifying the non‐PV foci in catheter ablation of young patients with AF.</description><subject>Ablation</subject><subject>Adult</subject><subject>age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aging</subject><subject>atrial Fibrillation</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - surgery</subject><subject>Cardiac arrhythmia</subject><subject>Catheter Ablation - methods</subject><subject>Catheters</subject><subject>Electrophysiologic Techniques, Cardiac</subject><subject>Female</subject><subject>Fibrillation</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Radiofrequency ablation</subject><subject>Recurrence</subject><subject>trigger foci</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1r3DAQhkVpaDYfl_yAIuglBJxIlmRZx2XzCYHk0J6NJI-2WryWK9mE_Pto400POUSXl5l55mXQi9AZJZc0v6tBW7iknHH5DS2o4KSoqVDf0YJQLoua1eoQHaW0IYRUhIsf6JBxzhVR5QK9XPs0Rm-m0YceB4dzsV5DTNgF67HuWxym0YYtpN3U6vEvjBCxNp1-X_E91nlHd9h5E323bw9ZoB_Tbt565yDmCus14HUM05BO0IHTXYLTvR6jP7c3v1f3xePT3cNq-VhYJqQsqNFGVlzVpuS8dCCFgKoqjWK2loIC8JIqbqw02tlWl5yWWbRQzvK2Eoodo_PZd4jh3wRpbLY-Wchn9hCm1JSiqgjLXiyjvz6hmzDFPl-XKamYJLyuMnUxUzaGlCK4Zoh-q-NrQ0mzi6PZxdG8x5Hhn3vLyWyh_Y9-_H8G6Ay8-A5ev7Bqnperm9n0DbJmlow</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Lin, Chung‐Hsing</creator><creator>Chang, Shih‐Lin</creator><creator>Lin, Yenn‐Jiang</creator><creator>Lo, Li‐Wei</creator><creator>Hu, Yu‐Feng</creator><creator>Chung, Fa‐Po</creator><creator>Chao, Tze‐Fan</creator><creator>Lin, Chin‐Yu</creator><creator>Tuan, Ta‐Chuan</creator><creator>Liao, Jo‐Nan</creator><creator>Kuo, Ling</creator><creator>Chang, Ting‐Yung</creator><creator>Li, Hsing‐Yuan</creator><creator>Huang, Ting‐Chung</creator><creator>Chuang, Chieh‐Mao</creator><creator>Vicera, Jennifer Jeanne</creator><creator>Chen, Shih‐Ann</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202110</creationdate><title>Distribution of triggers foci and outcomes of catheter ablation in atrial fibrillation patients in different age groups</title><author>Lin, Chung‐Hsing ; Chang, Shih‐Lin ; Lin, Yenn‐Jiang ; Lo, Li‐Wei ; Hu, Yu‐Feng ; Chung, Fa‐Po ; Chao, Tze‐Fan ; Lin, Chin‐Yu ; Tuan, Ta‐Chuan ; Liao, Jo‐Nan ; Kuo, Ling ; Chang, Ting‐Yung ; Li, Hsing‐Yuan ; Huang, Ting‐Chung ; Chuang, Chieh‐Mao ; Vicera, Jennifer Jeanne ; Chen, Shih‐Ann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3577-1bab76498b2442fe755e662b93c8751ee42194bc7bafcda2412cdaa59fc4d6593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ablation</topic><topic>Adult</topic><topic>age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aging</topic><topic>atrial Fibrillation</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Atrial Fibrillation - surgery</topic><topic>Cardiac arrhythmia</topic><topic>Catheter Ablation - methods</topic><topic>Catheters</topic><topic>Electrophysiologic Techniques, Cardiac</topic><topic>Female</topic><topic>Fibrillation</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Radiofrequency ablation</topic><topic>Recurrence</topic><topic>trigger foci</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Chung‐Hsing</creatorcontrib><creatorcontrib>Chang, Shih‐Lin</creatorcontrib><creatorcontrib>Lin, Yenn‐Jiang</creatorcontrib><creatorcontrib>Lo, Li‐Wei</creatorcontrib><creatorcontrib>Hu, Yu‐Feng</creatorcontrib><creatorcontrib>Chung, Fa‐Po</creatorcontrib><creatorcontrib>Chao, Tze‐Fan</creatorcontrib><creatorcontrib>Lin, Chin‐Yu</creatorcontrib><creatorcontrib>Tuan, Ta‐Chuan</creatorcontrib><creatorcontrib>Liao, Jo‐Nan</creatorcontrib><creatorcontrib>Kuo, Ling</creatorcontrib><creatorcontrib>Chang, Ting‐Yung</creatorcontrib><creatorcontrib>Li, Hsing‐Yuan</creatorcontrib><creatorcontrib>Huang, Ting‐Chung</creatorcontrib><creatorcontrib>Chuang, Chieh‐Mao</creatorcontrib><creatorcontrib>Vicera, Jennifer Jeanne</creatorcontrib><creatorcontrib>Chen, Shih‐Ann</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Chung‐Hsing</au><au>Chang, Shih‐Lin</au><au>Lin, Yenn‐Jiang</au><au>Lo, Li‐Wei</au><au>Hu, Yu‐Feng</au><au>Chung, Fa‐Po</au><au>Chao, Tze‐Fan</au><au>Lin, Chin‐Yu</au><au>Tuan, Ta‐Chuan</au><au>Liao, Jo‐Nan</au><au>Kuo, Ling</au><au>Chang, Ting‐Yung</au><au>Li, Hsing‐Yuan</au><au>Huang, Ting‐Chung</au><au>Chuang, Chieh‐Mao</au><au>Vicera, Jennifer Jeanne</au><au>Chen, Shih‐Ann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distribution of triggers foci and outcomes of catheter ablation in atrial fibrillation patients in different age groups</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2021-10</date><risdate>2021</risdate><volume>44</volume><issue>10</issue><spage>1724</spage><epage>1732</epage><pages>1724-1732</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Background
Atrial fibrillation (AF) prevalence increases with age. Aging affects the substrate properties of the left atrium (LA) and the outcomes of catheter ablation for treating AF. We investigated the AF trigger distribution and catheter ablation outcomes in patients of different ages with AF.
Methods
1585 patients with AF (1181 paroxysmal and 404 non‐ paroxysmal AF) who had undergone catheter ablation were enrolled. The patients were divided into young (20–40 year‐old, n = 175), middle‐aged (41–64 year‐old, n = 1134), and old (≥ 65 year‐old, n = 276) groups. Electrophysiological characteristics and AF trigger sites were recorded.
Result
The incidence of AF with only non‐pulmonary vein (non‐PV) foci was higher in the young group than in the other groups (8.6% vs. 3.6% vs. 3.3%, p < 0.01). Non‐PV foci were more commonly located in the superior vena cava (SVC) in the young group than in the other groups (13.1% vs. 7.8% vs. 6.5%, p = 0.03). The left atrium (LA) mean voltage was higher and the incidence of very late recurrence after AF ablation was lower in the young group than in the other groups. However, the final AF recurrence rate after multiple procedures and complication rates were similar among all the groups at a mean follow‐up of 5.6 years.
Conclusion
The young patients with AF had a higher incidence of only non‐PV foci, mostly located in SVC, than the middle‐aged and old patients. Our study highlights the importance of identifying the non‐PV foci in catheter ablation of young patients with AF.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34449092</pmid><doi>10.1111/pace.14347</doi><tpages>9</tpages></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Ablation Adult age Age Factors Aged Aging atrial Fibrillation Atrial Fibrillation - physiopathology Atrial Fibrillation - surgery Cardiac arrhythmia Catheter Ablation - methods Catheters Electrophysiologic Techniques, Cardiac Female Fibrillation Heart Atria - physiopathology Humans Male Middle Aged Patients Radiofrequency ablation Recurrence trigger foci |
| title | Distribution of triggers foci and outcomes of catheter ablation in atrial fibrillation patients in different age groups |
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