Commentary: What is the measure of success for atrial fibrillation ablation? Is a reduction in arrhythmia burden sufficient?

[摘要] In this issue of the Journal, Li and colleagues1 follow a small cohort of patients with paroxysmal atrial fibrillation (PAF) and previous cerebrovascular or peripheral thromboembolism, without previous intervention, who underwent stand-alone thoracoscopic pulmonary vein isolation and left atrial appendage excision. They compared these patients with a smaller group who opted for medical management. After controlling for CHA2DS2-VASc score (ie, congestive heart failure; hypertension; age ≥75 years; diabetes mellitus, stroke, or transient ischemic attack; vascular disease; age 65-74 years; sex category), the authors found that pulmonary vein isolation delayed progression of PAF.

[学科分类] 心脏病和心血管学