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Ablation for atrial fibrillation during mitral valve surgery: 1-year results through continuous subcutaneous monitoring.

https://arctichealth.org/en/permalink/ahliterature125117
Source
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):37-41
Publication Type
Article
Date
Jul-2012
Author
Alexandr Bogachev-Prokophiev
Sergey Zheleznev
Alexander Romanov
Evgeny Pokushalov
Alexey Pivkin
Giorgio Corbucci
Alexander Karaskov
Author Affiliation
Department of Heart Valves Surgery, State Research Institute of Circulation Pathology, Novosibirsk, Russian Federation. b-pav@rambler.ru
Source
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):37-41
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Atrial Fibrillation - complications - diagnosis - mortality - surgery
Atrial Flutter - diagnosis - etiology - mortality
Catheter Ablation - adverse effects - mortality
Chi-Square Distribution
Disease-Free Survival
Electrocardiography, Ambulatory
Female
Heart Valve Diseases - complications - mortality - surgery
Heart Valve Prosthesis Implantation - adverse effects - mortality
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Mitral Valve - surgery
Predictive value of tests
Prospective Studies
Recurrence
Risk assessment
Risk factors
Russia
Time Factors
Treatment Outcome
Abstract
Continuous monitoring of cardiac rhythm may play an important role in measuring the true symptomatic/asymptomatic atrial fibrillation (AF) burden and improve the management of anti-arrhythmic and anti-thrombotic therapies. Forty-seven patients with mitral valve disease and longstanding persistent AF (LSPAF) underwent a left atrial maze procedure with bipolar radiofrequency and valve surgery. The follow-up data recorded by an implanted loop recorder were analysed after 3, 6 and 12 months. On discharge, 40 (85.1%) patients were in stable sinus rhythm, as documented by in-office electrocardiography (ECG), 4 (8.5%) were in pacemaker rhythm and 3 (6.4%) were in AF. One (2.1%) patient died after 7 months. On 12-month follow-up examination, 30 (65.2%) patients had an AF burden 0.5%. Two (4.3%) patients with AF recurrences were completely asymptomatic. Among the symptomatic events stored by the patients, only 27.6% was confirmed as genuine AF recurrences according to the concomitant ECG recorded by the implanted loop recorder. A concomitant bipolar maze procedure during mitral valve surgery is effective in treating AF, as proved by detailed 1-year continuous monitoring.
Notes
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PubMed ID
22514258 View in PubMed
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