{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:24:47Z","timestamp":1747149887936,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T00:00:00Z","timestamp":1555027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The impact of left atrial posterior wall isolation (<jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content>) on the complex fractionated atrial electrogram (<jats:styled-content style=\"fixed-case\">CFAE<\/jats:styled-content>) is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">CFAE<\/jats:styled-content> mapping was performed before and after <jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content> in 46 patients with persistent atrial fibrillation (<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content> decreased both the variable (fractionated index\u00a0\u2264\u00a0120\u00a0ms; from 60\u00a0\u00b1\u00a04\u00a0cm<jats:sup>2<\/jats:sup> to 50\u00a0\u00b1\u00a04\u00a0cm<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and continuous (fractionated index\u00a0\u2264\u00a050\u00a0ms; from 4.2\u00a0\u00b1\u00a01.0\u00a0cm<jats:sup>2<\/jats:sup> to 3.5\u00a0\u00b1\u00a00.9\u00a0cm<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.036) <jats:styled-content style=\"fixed-case\">CFAE<\/jats:styled-content> areas. Especially, the <jats:styled-content style=\"fixed-case\">CFAE<\/jats:styled-content> areas on the bottom and roof walls of the left atrium and on the posterior and bottom walls of the right atrium significantly decreased after <jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content>. The distribution of variable <jats:styled-content style=\"fixed-case\">CFAE<\/jats:styled-content> areas was not different between the <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\u2010recurrence (n\u00a0=\u00a09) and <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\u2010free (n\u00a0=\u00a037) groups before <jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content>; however, it was larger in the anterior and septal walls of the right atrium in the <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\u2010recurrence group than in the <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\u2010free group after <jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content> (anterior wall, 8%\u00a0\u00b1\u00a02% vs 5%\u00a0\u00b1\u00a01%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.048; septal wall, 23%\u00a0\u00b1\u00a04% vs 16%\u00a0\u00b1\u00a01%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.043). The distribution of continuous <jats:styled-content style=\"fixed-case\">CFAE<\/jats:styled-content> areas on the bottom wall of the right atrium was larger in the <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\u2010recurrence group than in the <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\u2010free group both before <jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content> (30%\u00a0\u00b1\u00a020% vs 4%\u00a0\u00b1\u00a02%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.008) and after <jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content> (25%\u00a0\u00b1\u00a025% vs 3%\u00a0\u00b1\u00a01%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.027).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">LAPWI<\/jats:styled-content> decreased the <jats:styled-content style=\"fixed-case\">CFAE<\/jats:styled-content> areas and affected their distribution, which contributed to <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> recurrence.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12182","type":"journal-article","created":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T14:41:33Z","timestamp":1555080093000},"page":"528-534","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Left atrial posterior wall isolation affects complex fractionated atrial electrograms in persistent atrial fibrillation"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5427-5048","authenticated-orcid":false,"given":"Yosuke","family":"Nakatani","sequence":"first","affiliation":[{"name":"Second Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamotsu","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Tsujino","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoya","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunihiro","family":"Nishida","sequence":"additional","affiliation":[{"name":"Nishida Medical Clinic  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Mizumaki","sequence":"additional","affiliation":[{"name":"Alpen Murotani Clinic  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Kinugawa","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199809033391003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.04.060"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2008.01148.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2011.02122.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1408288"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.111.962720"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00395-010-0132-1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000074206.52056.2D"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000048140.31785.02"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.01.014"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.10.009"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.003885"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-011-9587-8"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2007.00911.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-016-0124-7"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.08.019"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.12.035"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2010.01959.x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000040"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2007.12.009"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(59)90274-1"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.RES.33.1.54"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2008.03.010"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004811"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.10.075"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-09-0899"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1161\/hc4601.099466"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12187"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.09.066"}],"container-title":["Journal of Arrhythmia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.12182","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/joa3.12182","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.12182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T17:33:59Z","timestamp":1694280839000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/joa3.12182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,12]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1002\/joa3.12182"],"URL":"https:\/\/doi.org\/10.1002\/joa3.12182","archive":["Portico"],"relation":{},"ISSN":["1880-4276","1883-2148"],"issn-type":[{"type":"print","value":"1880-4276"},{"type":"electronic","value":"1883-2148"}],"subject":[],"published":{"date-parts":[[2019,4,12]]},"assertion":[{"value":"2019-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}