Catheter ablation of long-standing persistent atrial fibrillation: A reckless challenge or a way to real cure?

Research output: Contribution to journalReview article

Abstract

Long-standing persistent atrial fibrillation (L-PeAF) is a category in which rhythm control is attempted while atrial fibrillation (AF) is maintained for more than 1 year. Because AF is a progressive disease and L-PeAF accompanies significant electrical and structural remodeling of atria, it is difficult to restore and maintain sinus rhythm in patients with L-PeAF. Nonetheless, the rhythm outcome is being increasingly improved by the development of sophisticated mapping devices, highly efficient catheters, and evidence-based ablation strategies, and the rational choice of patient selection criteria. This review discusses the evolution of the rhythm control outcome of L-PeAF and its future direction of development.

Original languageEnglish
Pages (from-to)134-145
Number of pages12
JournalKorean Circulation Journal
Volume49
Issue number2
DOIs
Publication statusPublished - 2019 Feb

Fingerprint

Catheter Ablation
Atrial Fibrillation
Patient Selection
Atrial Remodeling
Catheters
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Catheter ablation of long-standing persistent atrial fibrillation: A reckless challenge or a way to real cure?",
abstract = "Long-standing persistent atrial fibrillation (L-PeAF) is a category in which rhythm control is attempted while atrial fibrillation (AF) is maintained for more than 1 year. Because AF is a progressive disease and L-PeAF accompanies significant electrical and structural remodeling of atria, it is difficult to restore and maintain sinus rhythm in patients with L-PeAF. Nonetheless, the rhythm outcome is being increasingly improved by the development of sophisticated mapping devices, highly efficient catheters, and evidence-based ablation strategies, and the rational choice of patient selection criteria. This review discusses the evolution of the rhythm control outcome of L-PeAF and its future direction of development.",
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Catheter ablation of long-standing persistent atrial fibrillation : A reckless challenge or a way to real cure? / Pak, Hui Nam.

In: Korean Circulation Journal, Vol. 49, No. 2, 02.2019, p. 134-145.

Research output: Contribution to journalReview article

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T1 - Catheter ablation of long-standing persistent atrial fibrillation

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AU - Pak, Hui Nam

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AB - Long-standing persistent atrial fibrillation (L-PeAF) is a category in which rhythm control is attempted while atrial fibrillation (AF) is maintained for more than 1 year. Because AF is a progressive disease and L-PeAF accompanies significant electrical and structural remodeling of atria, it is difficult to restore and maintain sinus rhythm in patients with L-PeAF. Nonetheless, the rhythm outcome is being increasingly improved by the development of sophisticated mapping devices, highly efficient catheters, and evidence-based ablation strategies, and the rational choice of patient selection criteria. This review discusses the evolution of the rhythm control outcome of L-PeAF and its future direction of development.

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