{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:27:36Z","timestamp":1791329256714,"version":"4.3.1"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T00:00:00Z","timestamp":1736812800000},"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":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Catheter ablation (CA) can improve exercise tolerance and quality of life (QOL) in patients with atrial fibrillation (AF). However, its differential effects on muscle strength between paroxysmal AF (PAF) and nonparoxysmal AF (Non\u2010PAF) remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We evaluated 94 patients (67.8\u2009\u00b1\u200910.3\u2009years old, 71% male) who underwent CA (PAF\/Non\u2010PAF 46\/48) without AF recurrence. Six\u2010minute walk distance (6MWD), leg strength, and an AF\u2010specific QOL questionnaire (AFQLQ) were evaluated at baseline, 3, and 6\u2009months after CA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At baseline, the 6MWD and AFQLQ subset 3 score were significantly lower in patients with PAF than in those with Non\u2010PAF, but the parameters of muscle strength were comparable between the two groups. Both 6MWD and AFQLQ significantly improved at 6\u2009months after CA in both groups. However, leg strength at 6\u2009months after CA significantly improved in the Non\u2010PAF group (54.9\u2009\u00b1\u200916.5 to 58.4\u2009\u00b1\u200915.2,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05) but not in the PAF group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Successful CA for both PAF and Non\u2010PAF improved QOL and exercise tolerance. Additionally, CA improved leg strength in Non\u2010PAF patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.13220","type":"journal-article","created":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T03:37:51Z","timestamp":1736825871000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Different effects of catheter ablation on exercise tolerance, leg strength, and quality of life in paroxysmal versus persistent atrial fibrillation"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0165-5677","authenticated-orcid":false,"given":"Gen","family":"Matsuura","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Kitasato University School of Medicine  Sagamihara 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