{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:32:47Z","timestamp":1788201167346,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Reports of long\u2010term outcomes after atrial fibrillation (AF) ablation for tachycardia\u2010bradycardia syndrome (TBS) are limited. This study aimed to investigate the impact of radiofrequency catheter ablation (RFCA) on clinical outcomes in patients with TBS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 1669 patients who underwent AF ablation between January 2010 and April 2020, we retrospectively enrolled 53 patients (62.3% males; age, 67.1\u00a0\u00b1\u20097.0\u2009years) who had been diagnosed with TBS before RFCA for paroxysmal AF (TBS group). After 1:2 propensity score\u2010matching based on age, gender, AF type, and left atrial dimension, 106 patients were assigned to the control group (non\u2010TBS group). The atrial tachyarrhythmia (ATA) recurrence rate and rate of avoidance of permanent pacemaker implantation (PMI) were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During a median follow\u2010up period of 37.7\u2009months, the ATA recurrence rate after a single ablation procedure was significantly higher in the TBS group than in the non\u2010TBS group (51.0% vs. 38.5%; log\u2010rank <jats:italic>p<\/jats:italic>\u00a0=\u2009.008); however, the ATA recurrence rate after the final ablation procedure did not significantly differ between groups. In the TBS group, the rate of PMI avoidance after AF ablation was 92.5%. A Cox\u2010regression multivariate analysis revealed that the presence of non\u2010pulmonary vein\/superior vena cava premature atrial contractions (odds ratio, 3.38; 95% confidence interval, 1.49\u20137.66; <jats:italic>p<\/jats:italic>\u00a0=\u2009.004) was an independent predictor of ATA recurrence in the TBS group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with TBS had higher ATA recurrence rates after the first ablation procedure compared to those without TBS. However, ATA recurrence after AF ablation did not necessarily result in PMI for TBS patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12738","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T10:08:49Z","timestamp":1652954929000},"page":"598-607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of atrial fibrillation ablation on long\u2010term outcomes in patients with tachycardia\u2010bradycardia syndrome"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9256-5428","authenticated-orcid":false,"given":"Shohei","family":"Kataoka","sequence":"first","affiliation":[{"name":"Department of Cardiology Tokyo Women's Medical University  Shinjuku\u2010ku 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