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Does organized atrial tachycardia after a pulmonary vein isolation‐only procedure portend better outcome of repeat ablation compared to recurrent atrial fibrillation?

Better outcome has been suggested for repeat procedures after atrial fibrillation (AF) ablation, when recurrence presented as organized atrial tachycardia (OAT) compared to recurrent AF. However, this contradicts the finding… Click to show full abstract

Better outcome has been suggested for repeat procedures after atrial fibrillation (AF) ablation, when recurrence presented as organized atrial tachycardia (OAT) compared to recurrent AF. However, this contradicts the finding of more advanced atrial remodeling in patients with OAT recurrence and may be related to iatrogenesis by substrate modification during the index procedure. Therefore, we examined the prognostic significance of the type of recurrent arrhythmia after pulmonary vein isolation (PVI) without additional substrate modification.

Keywords: better outcome; pulmonary vein; organized atrial; atrial tachycardia; compared recurrent; atrial fibrillation

Journal Title: Journal of Arrhythmia
Year Published: 2025

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