Cor Vasa 2012, 54(11-12):e428-e432 | DOI: 10.1016/j.crvasa.2012.11.012
Follow-up of patients after catheter ablation of atrial fibrillation and their clinical management
- I. interní klinika - kardiologická, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika
ECG monitoring after catheter ablation is a necessary part of care of patients with atrial fibrillation. A significant number of patients after catheter ablation of atrial fibrillation have sooner or later arrhythmia recurrence. The riskier the patient, the bigger the impact of a potential arrhythmia and the more intensive effort to monitor ECG after ablation should be made. An integral part of follow-up of patients after catheter ablation is not only monitoring for potential arrhythmia recurrence but also monitoring for complications of ablation, antiarrhythmic and antithrombotic drugs prescription, influencing of atrial fibrillation development risk factors and considering reablation.
Keywords: Antiarrhythmic drugs; Atrial fibrillation; Monitoring; Radiofrequency ablation; Recurrence
Received: November 14, 2012; Accepted: November 15, 2012; Published: November 1, 2012 Show citation
References
- H.U. Klemm, R. Ventura, T. Rostock, et al., Correlation of symptoms to ECG diagnosis following atrial fibrillation ablation, Journal of Cardiovascular Electrophysiology 17 (2) (2006) 146-150.
Go to original source...
Go to PubMed...
- C.R. Vasamreddy, D. Dalal, J. Dong, et al., Symptomatic and asymptomatic atrial fibrillation in patients undergoing radiofrequency catheter ablation, Journal of Cardiovascular Electrophysiology 17 (2) (2006) 134-139.
Go to original source...
Go to PubMed...
- G. Hindricks, C. Piorkowski, H. Tanner, et al., Perception of atrial fibrillation before and after radiofrequency catheter ablation: relevance of asymptomatic arrhythmia recurrence, Circulation 112 (3) (2005) 307-313.
Go to original source...
Go to PubMed...
- P.D. Ziegler, J.L. Koehler, R. Mehra, Comparison of continuous versus intermittent monitoring of atrial arrhythmias, Heart Rhythm 3 (12) (2006) 1445-1452.
Go to original source...
Go to PubMed...
- H. Purerfellner, A.M. Gillis, R. Holbrook, D.A. Hettrick, Accuracy of atrial tachyarrhythmia detection in implantable devices with arrhythmia therapies, Pacing and Clinical Electrophysiology 27 (7) (2004) 983-992.
Go to original source...
Go to PubMed...
- E. Pokushalov, A. Romanov, G. Corbucci, et al., Ablation of paroxysmal and persistent atrial fibrillation: 1-year follow-up through continuous subcutaneous monitoring, Journal of Cardiovascular Electrophysiology 22 (4) (2011) 369-375.
Go to original source...
Go to PubMed...
- S. Joshi, A.D. Choi, G.S. Kamath, et al., Prevalence, predictors, and prognosis of atrial fibrillation early after pulmonary vein isolation: findings from 3 months of continuous automatic ECG loop recordings, Journal of Cardiovascular Electrophysiology 20 (10) (2009) 1089-1094.
Go to original source...
Go to PubMed...
- P. Leong-Sit, J.F. Roux, E. Zado, et al., Antiarrhythmics after ablation of atrial fibrillation (5A Study): six-month follow-up study, Circulation. Arrhythmia and Electrophysiology 4 (1) (2011) 11-14.
Go to original source...
Go to PubMed...
- C.R. Vasamreddy, L. Lickfett, V.K. Jayam, et al., Predictors of recurrence following catheter ablation of atrial fibrillation using an irrigated-tip ablation catheter, Journal of Cardiovascular Electrophysiology 15 (6) (2004) 692-697.
Go to original source...
Go to PubMed...
- E. Grubman, B.B. Pavri, S. Lyle, et al., Histopathologic effects of radiofrequency catheter ablation in previously infarcted human myocardium, Journal of Cardiovascular Electrophysiology 10 (3) (1999) 336-342.
Go to original source...
Go to PubMed...
- G. Fenelon, P. Brugada, Delayed effects of radiofrequency energy: mechanisms and clinical implications, Pacing and Clinical Electrophysiology 19 (4 Pt 1) (1996) 484-489.
Go to original source...
Go to PubMed...
- M.H. Hsieh, C.W. Chiou, Z.C. Wen, et al., Alterations of heart rate variability after radiofrequency catheter ablation of focal atrial fibrillation originating from pulmonary veins, Circulation 100 (22) (1999) 2237-2243.
Go to original source...
Go to PubMed...
- H. Oral, B.P. Knight, M. Ozaydin, et al. Clinical significance of early recurrences of atrial fibrillation after pulmonary vein isolation, Journal of the American College of Cardiology 40 (1) (2002) 100-104.
Go to original source...
Go to PubMed...
- T. Koyama, H. Tada, Y. Sekiguchi, et al., Prevention of atrial fibrillation recurrence with corticosteroids after radiofrequency catheter ablation: a randomized controlled trial, Journal of the American College of Cardiology 56 (18) (2010) 1463-1472.
Go to original source...
Go to PubMed...
- M. Allessie, J. Ausma, U..Schotten, Electrical, contractile and structural remodeling during atrial fibrillation, Cardiovascular Research 54 (2) (2002) 230-246.
Go to original source...
Go to PubMed...
- T.H. Everett 4th, E.E. Wilson, S. Verheule, et al., Structural atrial remodeling alters the substrate and spatiotemporal organization of atrial fibrillation: a comparison in canine models of structural and electrical atrial remodeling, American Journal of Physiology. Heart and Circulatory Physiology 291 (6) (2006) H2911-H2923.
Go to original source...
Go to PubMed...
- A.C. Skanes, R. Mandapati, O. Berenfeld, et al., Spatiotemporal periodicity during atrial fibrillation in the isolated sheep heart, Circulation 98 (12) (1998) 1236-1248.
Go to original source...
Go to PubMed...
- F. Ouyang, R. Tilz, J. Chun, et al., Long-term results of catheter ablation in paroxysmal atrial fibrillation: lessons from a 5-year follow-up, Circulation 122 (23) (2010) 2368-2377.
Go to original source...
Go to PubMed...
- R. Weerasooriya, P. Khairy, J. Litalien, et al., Catheter ablation for atrial fibrillation: are results maintained at 5 years of follow-up?, Journal of the American College of Cardiology 57 (2) (2011) 160-166.
Go to original source...
Go to PubMed...
- A. Wokhlu, D.O. Hodge, K.H. Monahan, et al., Long-term outcome of atrial fibrillation ablation: impact and predictors of very late recurrence, Journal of Cardiovascular Electrophysiology 21 (10) (2010) 1071-1078.
Go to original source...
Go to PubMed...
- R. Kobza, G. Hindricks, H. Tanner, et al. Late recurrent arrhythmias after ablation of atrial fibrillation: incidence, mechanisms, and treatment, Heart Rhythm 1 (6) (2004) 676-683.
Go to original source...
Go to PubMed...
- H. Calkins, K.H. Kuck, R. Cappato, et al., 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. A report of the Heart Rhythm Society (HRS) Task Force, Europace 14 (2012) 528-606.
Go to original source...
Go to PubMed...
- A. Wokhlu, K.H. Monahan, D.O. Hodge, et al., Long-term quality of life after ablation of atrial fibrillation the impact of recurrence, symptom relief, and placebo effect, Journal of the American College of Cardiology 55 (21) (2010) 2308-2316.
Go to original source...
Go to PubMed...
- A. Guiot, K. Jongnarangsin, A. Chugh, et al., Anticoagulant therapy and risk of cerebrovascular events after catheter ablation of atrial fibrillation in the elderly, Journal of Cardiovascular Electrophysiology 23 (1) (2012) 36-43.
Go to original source...
Go to PubMed...
- H. Oral, A. Chugh, M. Ozaydin, et al., Risk of thromboembolic events after percutaneous left atrial radiofrequency ablation of atrial fibrillation, Circulation 114 (8) (2006) 759-765.
Go to original source...
Go to PubMed...
- S. Themistoclakis, A. Corrado, F.E. Marchlinski, et al., The risk of thromboembolism and need for oral anticoagulation after successful atrial fibrillation ablation, Journal of the American College of Cardiology 55 (8) (2010) 735-743.
Go to original source...
Go to PubMed...
- M.H. Tayebjee, A. Creta, S. Moder, et al., Impact of angiotensin-converting enzyme-inhibitors and angiotensin receptor blockers on long-term outcome of catheter ablation for atrial fibrillation, Europace 12 (11) (2010) 1537-1542.
Go to original source...
Go to PubMed...
- K. Neven, B. Schmidt, A. Metzner, et al., Fatal end of a safety algorithm for pulmonary vein isolation with use of high-intensity focused ultrasound, Circulation. Arrhythmia and Electrophysiology 3 (3) (2010) 260-265.
Go to original source...
Go to PubMed...
- G.W. Gilcrease, J.B. Stein, A delayed case of fatal atrioesophageal fistula following radiofrequency ablation for atrial fibrillation, Journal of Cardiovascular Electrophysiology 21 (6) (2010) 708-711.
Go to original source...
Go to PubMed...
- J. Dong, C.R. Vasamreddy, V. Jayam, et al., Incidence and predictors of pulmonary vein stenosis following catheter ablation of atrial fibrillation using the anatomic pulmonary vein ablation approach: results from paired magnetic resonance imaging, Journal of Cardiovascular Electrophysiology 16 (8) (2005) 845-852.
Go to original source...
Go to PubMed...
- M. Mansour, G. Holmvang, D. Sosnovik, et al., Assessment of pulmonary vein anatomic variability by magnetic resonance imaging: implications for catheter ablation techniques for atrial fibrillation, Journal of Cardiovascular Electrophysiology 15 (4) (2004) 387-393.
Go to original source...
Go to PubMed...