Publications by authors named "F R Piersma"
Article Synopsis
- * In a study of 571 patients, women were older and had fewer cardiovascular risk factors; however, they faced a 15% greater risk of AF recurrence, largely due to more atrial tachycardias and fibrosis in heart tissue.
- * Vascular disease increased the risk of recurrent AF in women but not men, revealing significant gender differences in outcomes post-ablation and indicating a need for tailored approaches in treatment.
Article Synopsis
- - Recent research indicates that patients with a failed catheter ablation are at a higher risk of experiencing atrial fibrillation (AF) recurrence after undergoing thoracoscopic AF ablation, despite having fewer traditional risk factors for AF.
- - The study involved 705 patients, with 183 having a previous failed ablation, revealing that these patients had a 68% increased risk of AF recurrence compared to those who had never undergone ablation, as well as a lower rate of AF freedom (61.1% vs 72.5%).
- - Histological analysis showed that patients with a failed catheter ablation had denser collagen fibers in their left atrial appendage, suggesting more advanced atrial fibrosis, which could contribute to
Objectives: To determine the association between left atrial epicardial conduction time (LAECT), fibrosis and atrial fibrillation (AF) recurrence after thoracoscopic surgical ablation of persistent AF.
Setting: Single tertiary care centre in the Netherlands.
Participants: Patients with persistent AF from the randomised Atrial Fibrillation Ablation and Autonomic Modulation via Thoracoscopic Surgery (AFACT)-trial were included.
Introduction: Atrial fibrillation (AF) is the most common arrhythmia and imposes a high burden on the healthcare system. A nurse-led AF outpatient clinic may alleviate the burden on the cardiology outpatient clinic by triaging patients who need care by a cardiologist or general practitioner (GP). However, care and referral patterns after initial assessment in a nurse-led AF outpatient clinic are unknown.
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