{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:50:03Z","timestamp":1772081403338,"version":"3.50.1"},"reference-count":23,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007497","name":"Biosense Webster","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007497","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001316","name":"Abbott Laboratories","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001316","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartrhythmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm"],"published-print":{"date-parts":[[2020,5]]},"DOI":"10.1016\/j.hrthm.2019.12.013","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T13:07:23Z","timestamp":1576760843000},"page":"692-698","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":40,"special_numbering":"PA","title":["Arrhythmia recurrence is more common in females undergoing multiple catheter ablation procedures for persistent atrial fibrillation: Time to close the gender gap"],"prefix":"10.1016","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2236-0413","authenticated-orcid":false,"given":"Hariharan","family":"Sugumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane","family":"Nanayakkara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Chieng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey R.","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramanathan","family":"Parameswaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert D.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Al-Kaisey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chrishan J.","family":"Nalliah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Azzopardi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2694-2245","authenticated-orcid":false,"given":"Sandeep","family":"Prabhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6990-302X","authenticated-orcid":false,"given":"Aleksandr","family":"Voskoboinik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex J.","family":"McLellan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang-Han","family":"Ling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph B.","family":"Morton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan M.","family":"Kalman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Kistler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrthm.2019.12.013_bib1","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1161\/CIRCULATIONAHA.113.005119","article-title":"Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study","volume":"129","author":"Chugh","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2019.12.013_bib2","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1111\/jce.13397","article-title":"How to perform posterior wall isolation in catheter ablation for atrial fibrillation","volume":"29","author":"Sugumar","year":"2018","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2019.12.013_bib3","doi-asserted-by":"crossref","first-page":"e275","DOI":"10.1016\/j.hrthm.2017.05.012","article-title":"2017 HRS\/EHRA\/ECAS\/APHRS\/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"14","author":"Calkins","year":"2017","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2019.12.013_bib4","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1093\/eurheartj\/ehw260","article-title":"Catheter ablation in patients with persistent atrial fibrillation","volume":"38","author":"Kirchhof","year":"2017","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hrthm.2019.12.013_bib5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1161\/CIRCEP.109.859116","article-title":"Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation","volume":"3","author":"Cappato","year":"2010","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hrthm.2019.12.013_bib6","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1161\/CIRCEP.114.001672","article-title":"Five-year follow-up after catheter ablation of persistent atrial fibrillation using the stepwise approach and prognostic factors for success","volume":"8","author":"Schreiber","year":"2015","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hrthm.2019.12.013_bib7","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1016\/j.hrthm.2011.04.012","article-title":"Long-term single- and multiple-procedure outcome and predictors of success after catheter ablation for persistent atrial fibrillation","volume":"8","author":"Rostock","year":"2011","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2019.12.013_bib8","doi-asserted-by":"crossref","first-page":"f428","DOI":"10.1093\/europace\/eux265","article-title":"Development and validation of a risk score for predicting atrial fibrillation recurrence after a first catheter ablation procedure\u2014ATLAS score","volume":"20","author":"Mesquita","year":"2018","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2019.12.013_bib9","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.ijcard.2015.03.341","article-title":"Impact of gender on outcomes after atrial fibrillation ablation","volume":"187","author":"Vallakati","year":"2015","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.hrthm.2019.12.013_bib10","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1093\/eurheartj\/ehx466","article-title":"Temporal trends in atrial fibrillation recurrence rates after ablation between 2005 and 2014: a nationwide Danish cohort study","volume":"39","author":"Pallisgaard","year":"2018","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hrthm.2019.12.013_bib11","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.hrthm.2009.10.025","article-title":"Outcomes and complications of catheter ablation for atrial fibrillation in females","volume":"7","author":"Patel","year":"2010","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2019.12.013_bib12","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1016\/j.jacc.2005.06.016","article-title":"Predictors of non-pulmonary vein ectopic beats initiating paroxysmal atrial fibrillation: implication for catheter ablation","volume":"46","author":"Lee","year":"2005","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hrthm.2019.12.013_bib13","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1111\/jce.12651","article-title":"Age, atrial fibrillation, and structural heart disease are the main determinants of left atrial fibrosis detected by delayed-enhanced magnetic resonance imaging in a general cardiology population","volume":"26","author":"Cochet","year":"2015","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2019.12.013_bib14","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1016\/j.hlc.2018.01.002","article-title":"Low rates of major complications for radiofrequency ablation of atrial fibrillation maintained over 14 years: a single centre experience of 2750 consecutive cases","volume":"27","author":"Voskoboinik","year":"2018","journal-title":"Heart Lung Circ"},{"key":"10.1016\/j.hrthm.2019.12.013_bib15","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.118.006204","article-title":"Impact of female sex on clinical outcomes in the FIRE AND ICE trial of catheter ablation for atrial fibrillation","volume":"11","author":"Kuck","year":"2018","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hrthm.2019.12.013_bib16","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1161\/CIRCULATIONAHA.118.034271","article-title":"Sex differences in cardiovascular pathophysiology: why women are overrepresented in heart failure with preserved ejection fraction","volume":"138","author":"Beale","year":"2018","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2019.12.013_bib17","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1161\/CIRCULATIONAHA.117.030093","article-title":"High prevalence of occult heart failure with preserved ejection fraction among patients with atrial fibrillation and dyspnea","volume":"137","author":"Reddy","year":"2018","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2019.12.013_bib18","first-page":"131","article-title":"Pathophysiology of atrial fibrillation and heart failure: dangerous interactions","volume":"37","author":"Sugumar","year":"2019","journal-title":"Cardiol Clin"},{"key":"10.1016\/j.hrthm.2019.12.013_bib19","doi-asserted-by":"crossref","first-page":"1730","DOI":"10.1093\/eurheartj\/ehq146","article-title":"A multimarker approach to assess the influence of inflammation on the incidence of atrial fibrillation in women","volume":"31","author":"Conen","year":"2010","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hrthm.2019.12.013_bib20","doi-asserted-by":"crossref","first-page":"3006","DOI":"10.1161\/01.CIR.0000103131.70301.4F","article-title":"Inflammation as a risk factor for atrial fibrillation","volume":"108","author":"Aviles","year":"2003","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2019.12.013_bib21","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1111\/j.1749-6632.2000.tb05615.x","article-title":"Opsonization of apoptotic cells. Implications for uptake and autoimmunity","volume":"926","author":"Mevorach","year":"2000","journal-title":"Ann N Y Acad Sci"},{"key":"10.1016\/j.hrthm.2019.12.013_bib22","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1161\/01.CIR.0000090688.49283.67","article-title":"Electrical remodeling of the atria in congestive heart failure: electrophysiological and electroanatomic mapping in humans","volume":"108","author":"Sanders","year":"2003","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2019.12.013_bib23","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.hrthm.2015.10.023","article-title":"Prevalence and distribution of focal triggers in persistent and long-standing persistent atrial fibrillation","volume":"13","author":"Santangeli","year":"2016","journal-title":"Heart Rhythm"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S154752711931121X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S154752711931121X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:50:10Z","timestamp":1761547810000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S154752711931121X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["S154752711931121X"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2019.12.013","relation":{},"ISSN":["1547-5271"],"issn-type":[{"value":"1547-5271","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Arrhythmia recurrence is more common in females undergoing multiple catheter ablation procedures for persistent atrial fibrillation: Time to close the gender gap","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2019.12.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Heart Rhythm Society. All rights reserved.","name":"copyright","label":"Copyright"}]}}