Fujisawa Tomoki, Kawakami Hiroshi, Tamaki Shunsuke, Miyazaki Shigehiro, Akazawa Yusuke, Miyoshi Toru, Higaki Akinori, Seike Fumiyasu, Higashi Haruhiko, Nishimura Kazuhisa, Inoue Katsuji, Ikeda Shuntaro, Yamaguchi Osamu
Division of Cardiology, Department of Cardiology, Pulmonology, Hypertension, and Nephrology, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, 791-0295, Japan.
Heart Vessels. 2025 Jul;40(7):629-635. doi: 10.1007/s00380-024-02498-z. Epub 2024 Dec 15.
The relationship between post-ablation excessive supraventricular ectopic activity (ESVEA), a new marker for new-onset atrial fibrillation (AF), and late AF recurrence is uncertain. We enrolled 469 patients with AF who underwent initial radiofrequency catheter ablation and 24-h Holter monitoring the day after. Early AF recurrence (n = 57; 12%) and ESVEA (n = 242; 52%) were noted. During a median follow-up of 25 months, 152 (32%) patients experienced late AF recurrence. Patients with early AF recurrence or ESVEA were significantly more likely to experience late recurrence (p = 0.02). Even without AF, ESVEA was associated with late recurrence following AF ablation.
消融术后过度室上性异位活动（ESVEA）是新发房颤（AF）的一种新标志物，它与房颤晚期复发之间的关系尚不确定。我们纳入了469例接受初次射频导管消融并于术后次日进行24小时动态心电图监测的房颤患者。记录到早期房颤复发（n = 57；12%）和ESVEA（n = 242；52%）。在中位随访25个月期间，152例（32%）患者出现房颤晚期复发。早期房颤复发或ESVEA患者发生晚期复发的可能性显著更高（p = 0.02）。即使没有房颤，ESVEA也与房颤消融术后的晚期复发相关。
