?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Atrial+fibrillation+and+its+determinants+after+radiofrequency+ablation+of+chronic+common+atrial+flutter%0A&rft.creator=Cade%2C+St%C3%A9phane&rft.creator=Sedighian%2C+Shahine&rft.creator=Bortone%2C+Agustin&rft.creator=Gervasoni%2C+Richard&rft.creator=Macia%2C+Jean+Christophe&rft.creator=Leclercq%2C+Florence&rft.creator=Grolleau%2C+Robert&rft.creator=Pasqui%C3%A9%2C+Jean+Luc&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Aim.+Atrial+fibrillation+(AFib)+is+a+major+clinical+issue+and+its+occurrence+is+the+main+problem+after+catheter+ablation+of+atrial+flutter.+The+long-term+occurrence+of+AFib+after+common+atrial+flutter+ablation+is+still+matter+of+debate+as+it+may+influence+the+therapeutic+approach.+So%2C+the+aim+of+our+study+was+to+analyze+the+determinants+and+the+time+course+of+AFib+after+radiofrequency+catheter+ablation+of+chronic+common+atrial+flutter.+%0AMethods+and+Results.+89+consecutive+patients+(67.5+%C2%B1+12.0+yrs)+underwent+RF+ablation+of+chronic+common+atrial+flutter.+38.2+%25+had+previous+history+of+paroxysmal+AFib.+51%25+had+no+underlying+structural+heart+disease.+Over+a+mean+follow-up+of+38+%C2%B1+13+months%2C+the+occurrence+rate+of+AFib++progressively+increased+up+to+32.9%25+at+the+end+of+follow-up.+The+median+occurrence+time+for+AFib+was+8+months.+AFib+occurrence+was+significantly+associated+with+previous+AFib+history+(P%3D0.01)+but+not+with+the+presence+of+underlying+heart+disease+(P%3Dn.s.).+Of+particular+interest%2C+in+our+study%2C+AFib+never+occurred+in+patients+without+previous+AFib+history.+Palpitations+after+chronic+common+atrial+flutter+ablation+was+mostly+related+to+AFib.+%0AConclusion.+In+conclusion%2C+after+chronic+common+atrial+flutter+ablation%2C+AFib+incidence+progressively+increased+over+the+follow-up+in+all+patients.+Patients+with+prior+AFib+history+appeared+to+be+a+very+high+risk+group.+In+these+patients%2C+closer+monitoring+is+mandatory+and+the+persistent+risk+of+AFib+recurrences+may+justify+prolonged+anticoagulation+policy.%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2005-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4593%2F1%2Fpasquie2.htm&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F4593%2F2%2Fpasquie2.pdf&rft.identifier=++Cade%2C+St%C3%A9phane+and+Sedighian%2C+Shahine+and+Bortone%2C+Agustin+and+Gervasoni%2C+Richard+and+Macia%2C+Jean+Christophe+and+Leclercq%2C+Florence+and+Grolleau%2C+Robert+and+Pasqui%C3%A9%2C+Jean+Luc++(2005)+Atrial+fibrillation+and+its+determinants+after+radiofrequency+ablation+of+chronic+common+atrial+flutter.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4593%2F