Early Atrial Tachyarrhythmia Recurrence Predicts Late Atrial Tachyarrhythmia Recurrence After the Cryo-Maze Procedure ― An Observational Study
Background: It is unknown whether early atrial tachyarrhythmia (ATA) recurrence occurring within 3 months after the Maze procedure predicts late ATA recurrence.Methods and Results: This study involved 610 patients who underwent the modified Cryo-Maze procedure in conjunction with other cardiac surge...
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| Veröffentlicht in: | Circulation Journal 2022/08/11, pp.CJ-22-0232 |
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| creator | Minami, Kimito Kazawa, Masahiro Kakuta, Takashi Fukushima, Satsuki Fujita, Tomoyuki Kabata, Daijiro Ohnishi, Yoshihiko |
| description | Background: It is unknown whether early atrial tachyarrhythmia (ATA) recurrence occurring within 3 months after the Maze procedure predicts late ATA recurrence.Methods and Results: This study involved 610 patients who underwent the modified Cryo-Maze procedure in conjunction with other cardiac surgery. The primary outcomes were late ATA recurrence, defined as occurring ≥3 months after surgery. The effects of early ATA recurrence on late ATA recurrence were analyzed using a Cox proportional hazards model. The following 11 covariates were considered explanatory variables: early ATA recurrence, age, sex, body surface area, preoperative duration of atrial fibrillation, preoperative left atrial diameter, and concomitant surgery (mitral valve replacement, mitral valve repair, aortic valve replacement, tricuspid annuloplasty, and left atrial appendage closure). Statistical analyses were performed with a 2-sided 5% significance level. Early ATA recurrence occurred in 174 patients (28.5%). Late ATA recurrence occurred in 167 patients (27.5%), with 595 events identified in these patients. The Cox proportional hazards model showed that early ATA recurrence was an independent predictor of late ATA recurrence (hazard ratio, 4.14; 95% confidence interval, 3.00–5.70; P |
| doi_str_mv | 10.1253/circj.CJ-22-0232 |
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The primary outcomes were late ATA recurrence, defined as occurring ≥3 months after surgery. The effects of early ATA recurrence on late ATA recurrence were analyzed using a Cox proportional hazards model. The following 11 covariates were considered explanatory variables: early ATA recurrence, age, sex, body surface area, preoperative duration of atrial fibrillation, preoperative left atrial diameter, and concomitant surgery (mitral valve replacement, mitral valve repair, aortic valve replacement, tricuspid annuloplasty, and left atrial appendage closure). Statistical analyses were performed with a 2-sided 5% significance level. Early ATA recurrence occurred in 174 patients (28.5%). Late ATA recurrence occurred in 167 patients (27.5%), with 595 events identified in these patients. The Cox proportional hazards model showed that early ATA recurrence was an independent predictor of late ATA recurrence (hazard ratio, 4.14; 95% confidence interval, 3.00–5.70; P<0.001)Conclusions: Early ATA recurrence was an independent predictor of late ATA recurrence among patients undergoing the modified Cryo-Maze procedure. The blanking period might not be applied to patients undergoing the modified Cryo-Maze procedure.</description><identifier>ISSN: 1346-9843</identifier><identifier>ISSN: 1347-4820</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-22-0232</identifier><identifier>PMID: 35965068</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Atrial fibrillation ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - etiology ; Atrial Fibrillation - surgery ; Atrial tachyarrhythmias ; Catheter Ablation - adverse effects ; Early recurrence ; Heart Atria ; Humans ; Late recurrence ; Maze Procedure ; Recurrence ; Tachycardia - diagnosis ; Treatment Outcome</subject><ispartof>Circulation Journal, 2022/08/11, pp.CJ-22-0232</ispartof><rights>2022, THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5012-49ab6afcfc828f5209006cde29ab14862f53e2a4060547ab37065a6d1bdc08803</citedby><cites>FETCH-LOGICAL-c5012-49ab6afcfc828f5209006cde29ab14862f53e2a4060547ab37065a6d1bdc08803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35965068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Minami, Kimito</creatorcontrib><creatorcontrib>Kazawa, Masahiro</creatorcontrib><creatorcontrib>Kakuta, Takashi</creatorcontrib><creatorcontrib>Fukushima, Satsuki</creatorcontrib><creatorcontrib>Fujita, Tomoyuki</creatorcontrib><creatorcontrib>Kabata, Daijiro</creatorcontrib><creatorcontrib>Ohnishi, Yoshihiko</creatorcontrib><title>Early Atrial Tachyarrhythmia Recurrence Predicts Late Atrial Tachyarrhythmia Recurrence After the Cryo-Maze Procedure ― An Observational Study</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background: It is unknown whether early atrial tachyarrhythmia (ATA) recurrence occurring within 3 months after the Maze procedure predicts late ATA recurrence.Methods and Results: This study involved 610 patients who underwent the modified Cryo-Maze procedure in conjunction with other cardiac surgery. The primary outcomes were late ATA recurrence, defined as occurring ≥3 months after surgery. The effects of early ATA recurrence on late ATA recurrence were analyzed using a Cox proportional hazards model. The following 11 covariates were considered explanatory variables: early ATA recurrence, age, sex, body surface area, preoperative duration of atrial fibrillation, preoperative left atrial diameter, and concomitant surgery (mitral valve replacement, mitral valve repair, aortic valve replacement, tricuspid annuloplasty, and left atrial appendage closure). Statistical analyses were performed with a 2-sided 5% significance level. Early ATA recurrence occurred in 174 patients (28.5%). Late ATA recurrence occurred in 167 patients (27.5%), with 595 events identified in these patients. The Cox proportional hazards model showed that early ATA recurrence was an independent predictor of late ATA recurrence (hazard ratio, 4.14; 95% confidence interval, 3.00–5.70; P<0.001)Conclusions: Early ATA recurrence was an independent predictor of late ATA recurrence among patients undergoing the modified Cryo-Maze procedure. The blanking period might not be applied to patients undergoing the modified Cryo-Maze procedure.</description><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - etiology</subject><subject>Atrial Fibrillation - surgery</subject><subject>Atrial tachyarrhythmias</subject><subject>Catheter Ablation - adverse effects</subject><subject>Early recurrence</subject><subject>Heart Atria</subject><subject>Humans</subject><subject>Late recurrence</subject><subject>Maze Procedure</subject><subject>Recurrence</subject><subject>Tachycardia - diagnosis</subject><subject>Treatment Outcome</subject><issn>1346-9843</issn><issn>1347-4820</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1EAMhiMEoqVw54Ry5JLWmclMkuMqKtBqoagt55EzcUhW2aR4JpXCaZ-hEi8IL9Jsd9teOdmyPn-W_AfB-xiOY6HkiW3Zro6L80iICIQUL4LDWCZplGQCXj70OsqzRB4Eb5xbAYgcVP46OJAq1wp0dhjcnSJ3U7jw3GIXXqNtJmRuJt-sWwwvyY7M1FsKvzNVrfUuXKKn_-AXtScOfUNhwdMQfcXfW8dgqRqZ_m02fzd_wkUfXpSO-BZ9O_Sz78qP1fQ2eFVj5-jdvh4FPz6dXhdfouXF57NisYysglhESY6lxtrWNhNZrQTkANpWJOZ5nGRa1EqSwAQ0qCTFUqagFeoqLisLWQbyKPi4897w8Gsk5826dZa6DnsaRmdECiLJVKrUjMIOtTw4x1SbG27XyJOJwWyTMA9JmOLcCGG2ScwrH_b2sVxT9bTw-PoZ-LYDVs7jT3oCkH1rO9obsbqdBQYem-cLz2CDbKiX96I5psw</recordid><startdate>20221223</startdate><enddate>20221223</enddate><creator>Minami, Kimito</creator><creator>Kazawa, Masahiro</creator><creator>Kakuta, Takashi</creator><creator>Fukushima, Satsuki</creator><creator>Fujita, Tomoyuki</creator><creator>Kabata, Daijiro</creator><creator>Ohnishi, Yoshihiko</creator><general>The Japanese Circulation Society</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>7X8</scope></search><sort><creationdate>20221223</creationdate><title>Early Atrial Tachyarrhythmia Recurrence Predicts Late Atrial Tachyarrhythmia Recurrence After the Cryo-Maze Procedure ― An Observational Study</title><author>Minami, Kimito ; Kazawa, Masahiro ; Kakuta, Takashi ; Fukushima, Satsuki ; Fujita, Tomoyuki ; Kabata, Daijiro ; Ohnishi, Yoshihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5012-49ab6afcfc828f5209006cde29ab14862f53e2a4060547ab37065a6d1bdc08803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - etiology</topic><topic>Atrial Fibrillation - surgery</topic><topic>Atrial tachyarrhythmias</topic><topic>Catheter Ablation - adverse effects</topic><topic>Early recurrence</topic><topic>Heart Atria</topic><topic>Humans</topic><topic>Late recurrence</topic><topic>Maze Procedure</topic><topic>Recurrence</topic><topic>Tachycardia - diagnosis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Minami, Kimito</creatorcontrib><creatorcontrib>Kazawa, Masahiro</creatorcontrib><creatorcontrib>Kakuta, Takashi</creatorcontrib><creatorcontrib>Fukushima, Satsuki</creatorcontrib><creatorcontrib>Fujita, Tomoyuki</creatorcontrib><creatorcontrib>Kabata, Daijiro</creatorcontrib><creatorcontrib>Ohnishi, Yoshihiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Minami, Kimito</au><au>Kazawa, Masahiro</au><au>Kakuta, Takashi</au><au>Fukushima, Satsuki</au><au>Fujita, Tomoyuki</au><au>Kabata, Daijiro</au><au>Ohnishi, Yoshihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Atrial Tachyarrhythmia Recurrence Predicts Late Atrial Tachyarrhythmia Recurrence After the Cryo-Maze Procedure ― An Observational Study</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2022-12-23</date><risdate>2022</risdate><volume>87</volume><issue>1</issue><spage>CJ-22-0232</spage><epage>83</epage><pages>CJ-22-0232-83</pages><artnum>CJ-22-0232</artnum><issn>1346-9843</issn><issn>1347-4820</issn><eissn>1347-4820</eissn><abstract>Background: It is unknown whether early atrial tachyarrhythmia (ATA) recurrence occurring within 3 months after the Maze procedure predicts late ATA recurrence.Methods and Results: This study involved 610 patients who underwent the modified Cryo-Maze procedure in conjunction with other cardiac surgery. The primary outcomes were late ATA recurrence, defined as occurring ≥3 months after surgery. The effects of early ATA recurrence on late ATA recurrence were analyzed using a Cox proportional hazards model. The following 11 covariates were considered explanatory variables: early ATA recurrence, age, sex, body surface area, preoperative duration of atrial fibrillation, preoperative left atrial diameter, and concomitant surgery (mitral valve replacement, mitral valve repair, aortic valve replacement, tricuspid annuloplasty, and left atrial appendage closure). Statistical analyses were performed with a 2-sided 5% significance level. Early ATA recurrence occurred in 174 patients (28.5%). Late ATA recurrence occurred in 167 patients (27.5%), with 595 events identified in these patients. The Cox proportional hazards model showed that early ATA recurrence was an independent predictor of late ATA recurrence (hazard ratio, 4.14; 95% confidence interval, 3.00–5.70; P<0.001)Conclusions: Early ATA recurrence was an independent predictor of late ATA recurrence among patients undergoing the modified Cryo-Maze procedure. The blanking period might not be applied to patients undergoing the modified Cryo-Maze procedure.</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>35965068</pmid><doi>10.1253/circj.CJ-22-0232</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Atrial fibrillation Atrial Fibrillation - diagnosis Atrial Fibrillation - etiology Atrial Fibrillation - surgery Atrial tachyarrhythmias Catheter Ablation - adverse effects Early recurrence Heart Atria Humans Late recurrence Maze Procedure Recurrence Tachycardia - diagnosis Treatment Outcome |
| title | Early Atrial Tachyarrhythmia Recurrence Predicts Late Atrial Tachyarrhythmia Recurrence After the Cryo-Maze Procedure ― An Observational Study |
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