Key result
Clinical, instrumental, and electrophysiological markers predict post-ablation AF in typical atrial flutter.
Why the study?
What are the risk factors associated with the development of post-ablation atrial fibrillation in patients with typical atrial flutter undergoing RFA of the CTI?
What are the risk factors associated with the development of post-ablation atrial fibrillation in patients with typical atrial flutter undergoing RFA of the CTI?
This review summarizes clinical, instrumental, and electrophysiological risk factors, as well as predictive models, for the development of atrial fibrillation following cavotricuspid isthmus ablation for typical atrial flutter.
May support post-CTI ablation monitoring in typical flutter; leaves open prospective validation of provocation testing and models.
The article presents the main clinical, instrumental, and electrophysiological risk factors of atrial fibrillation (AF) occurence in patients with typical atrial flutter (TAF) who underwent radio frequency catheter ablation (RFA) of the cavotricuspidal isthmus (CTI). The term “post-ablation AF” is defined. The role of such a factor as endocardial provocation test in predicting post-ablation AF in patients with TAF is indicated. Studies evaluating the effectiveness of preventive maintenance of RFA AF in patients undergoing RFA CTI are also represented. Mathematical models for predicting AF in the general population and in patients with TAF are discussed.
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Емельяненко et al. (2020) conducted a review in Typical atrial flutter undergoing cavotricuspid isthmus ablation. Radiofrequency catheter ablation of the cavotricuspid isthmus was evaluated. The review summarizes clinical, instrumental, and electrophysiological risk factors, including the endocardial provocation test, for predicting the development of post-ablation atrial fibrillation in patients with typical atrial flutter.
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