Parametric continuous variables are given as mean ± SD; non-parametric continuous variables are given as the median [interquartile range]; categorical variables are given as n (%); *: p < 0.05. PAC: premature atrial contractions; LV: left ventricle; GFR: glomerular filtration rate; DAP: dose area product.
Declarations
Acknowledgments
This study is part of Limburg Clinical Research Center, supported by Hasselt University, Jessa Hospital, and Ziekenhuis Oost-Limburg. The support provided to this manuscript did not involve financial funding, and the institutions had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Author contributions
RH: Formal analysis, Data curation, Writing—original draft. JV: Writing—review & editing. ZA: Investigation, Writing—original draft. HVE: Investigation, Writing—original draft. PVDL: Investigation, Writing—original draft. TP: Writing—review & editing. PK: Conceptualization, Investigation, Writing—original draft. All authors read and approved the submitted version.
Conflicts of interest
The authors declare that they have no conflicts of interest.
Ethical approval
The study was approved by the Jessa Hospital Ethics Committee (2023/161) and complies with the Declaration of Helsinki.
Consent to participate
As this study is a retrospective study, informed consent, specific to this study, is not obligated as retrospective studies fall outside the scope of the Belgian Law of 7 May 2004 concerning experiments on the human person. However, following Belgian privacy law, the patient is informed about the possible processing of his personal hospital data through a signed document when the patient is admitted.
Consent to publication
Not applicable.
Availability of data and materials
The data that support the findings of this study are available from the corresponding author upon reasonable request. Due to privacy and ethical restrictions, the data are not publicly available, as they contain information that could compromise the confidentiality of research participants.
Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.
References
Van Gelder IC, Rienstra M, Bunting KV, Casado-Arroyo R, Caso V, Crijns HJGM, et al.; ESC Scientific Document Group. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).Eur Heart J. 2024;45:3314–414. [DOI] [PubMed]
Haïssaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins.N Engl J Med. 1998;339:659–66. [DOI] [PubMed]
Acharya T, Tringali S, Bhullar M, Nalbandyan M, Ilineni VK, Carbajal E, et al. Frequent Atrial Premature Complexes and Their Association With Risk of Atrial Fibrillation.Am J Cardiol. 2015;116:1852–7. [DOI] [PubMed]
Fujisawa T, Kawakami H, Nagai T, Miyazaki S, Akazawa Y, Miyoshi T, et al. Premature atrial contraction immediately after catheter ablation was associated with late recurrence of atrial fibrillation.Pacing Clin Electrophysiol. 2023;46:152–60. [DOI] [PubMed]
Gang UJO, Nalliah CJ, Lim TW, Thiagalingam A, Kovoor P, Ross DL, et al. Atrial ectopy predicts late recurrence of atrial fibrillation after pulmonary vein isolation.Circ Arrhythm Electrophysiol. 2015;8:569–74. [DOI] [PubMed]
Alhede C, Johannessen A, Dixen U, Jensen JS, Raatikainen P, Hindricks G, et al. Higher burden of supraventricular ectopic complexes early after catheter ablation for atrial fibrillation is associated with increased risk of recurrent atrial fibrillation.Europace. 2018;20:50–7. [DOI] [PubMed]
Inoue H, Tanaka N, Tanaka K, Ninomiya Y, Hirao Y, Oka T, et al. Burden and Long Firing of Premature Atrial Contraction Early After Catheter Ablation Predict Late Recurrence of Atrial Fibrillation.Circ J. 2020;84:894–901. [DOI] [PubMed]
Coutiño HE, Abugattas JP, Levinstein M, Mugnai G, Moran D, De Regibus V, et al. Role of the burden of premature atrial contractions during the blanking period following second-generation cryoballoon ablation in predicting late recurrences of atrial arrhythmias.J Interv Card Electrophysiol. 2017;49:329–35. [DOI] [PubMed]
Calkins H, Hindricks G, Cappato R, Kim YH, Saad EB, Aguinaga L, et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.Heart Rhythm. 2017;14:e275–e444. [DOI] [PubMed] [PMC]
Borlich M, Sommer P. Cardiac Mapping Systems: Rhythmia, Topera, EnSite Precision, and CARTO.Card Electrophysiol Clin. 2019;11:449–58. [DOI] [PubMed]
Lin T, Ouyang F, Kuck K, Tilz R. THERMOCOOL® SMARTTOUCH® CATHETER - The Evidence So Far for Contact Force Technology and the Role of VISITAG™ MODULE.Arrhythm Electrophysiol Rev. 2014;3:44–7. [DOI] [PubMed] [PMC]
Reynolds MR, Zheng Q, Doros G. Laser balloon ablation for AF: A systematic review and meta-analysis.J Cardiovasc Electrophysiol. 2018;29:1363–70. [DOI] [PubMed]
Amoah J, Stuart EA, Cosgrove SE, Harris AD, Han JH, Lautenbach E, et al. Comparing Propensity Score Methods Versus Traditional Regression Analysis for the Evaluation of Observational Data: A Case Study Evaluating the Treatment of Gram-Negative Bloodstream Infections.Clin Infect Dis. 2020;71:e497–e505. [DOI] [PubMed] [PMC]
Lalani N, Jimenez RB, Yeap B. Understanding Propensity Score Analyses.Int J Radiat Oncol Biol Phys. 2020;107:404–7. [DOI] [PubMed]
Kornej J, Reinhardt C, Kosiuk J, Arya A, Hindricks G, Adams V, et al. Response of high-sensitive C-reactive protein to catheter ablation of atrial fibrillation and its relation with rhythm outcome.PLoS One. 2012;7:e44165. [DOI] [PubMed] [PMC]
Lim HS, Schultz C, Dang J, Alasady M, Lau DH, Brooks AG, et al. Time course of inflammation, myocardial injury, and prothrombotic response after radiofrequency catheter ablation for atrial fibrillation.Circ Arrhythm Electrophysiol. 2014;7:83–9. [DOI] [PubMed]
Lim PB, Malcolme-Lawes LC, Stuber T, Wright I, Francis DP, Davies DW, et al. Intrinsic cardiac autonomic stimulation induces pulmonary vein ectopy and triggers atrial fibrillation in humans.J Cardiovasc Electrophysiol. 2011;22:638–46. [DOI] [PubMed]
Chen F, Guo D, Zheng T, Gu Y, Zhou X, Qiu Y, et al. Efficacy and Safety of Laser Balloon Versus Irrigated Radiofrequency Ablation as Initial Therapies for Atrial Fibrillation: A Meta-Analysis.Rev Cardiovasc Med. 2024;25:205. [DOI] [PubMed]