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September 21, 2025

Mapping and ablation outcomes of extra-pulmonary vein triggers in atrial fibrillation: Single-center retrospective study with consistent provocation protocol.

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Authors

SCSeunghoon ChoDKDaehoon KimHPHanjin Park

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Overview

Retrospective study shows importance of extra-pulmonary vein triggers in atrial fibrillation recurrence, highlighting their diagnostic value.

Key Points

  • Extra-pulmonary vein triggers were found in 13.5% of atrial fibrillation patients, posing a significant risk for recurrence.
  • Lower mean left atrial voltage significantly correlates with the presence of extra-pulmonary vein triggers, predicting higher recurrence risk.
  • Analysis involved 2,619 non-valvular AF patients undergoing circumferential pulmonary vein isolation with isoproterenol provocation testing.
  • These findings emphasize tailored ablation strategies that consider extra-pulmonary vein triggers, enhancing patient outcomes.

Cite This Study

Cho et al. (2025) studied this question.

synapsesocial.com/papers/68d43afa713b0b5dfea7acfchttps://doi.org/10.1093/europace/euaf225
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Identification of pulmonary vein triggers during de novo catheter ablation for atrial fibrillation predicts better clinical outcomes2026
  2. 2Sex-Related Differences in Non–Pulmonary Vein Triggers During Initial Atrial Fibrillation Ablation2025 · 5 citations
  3. 3Strategic factors to reduce recurrence after trido catheter ablation for atrial fibrillation2026
  4. 4Intraprocedural Trigger Stratification via Protocolized Isoproterenol Provocation: A Mappability‐Guided Strategy for Paroxysmal Atrial Fibrillation Ablation2025
  5. 5Low-Voltage areas in women with atrial fibrillation: Implications for tailored ablation strategies2026