{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:25:00Z","timestamp":1778865900436,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Prolonged sinus pause (PSP) after atrial fibrillation (AF) termination shortly after catheter ablation seems to be a reversible phenomenon without further need for pacemaker implantation (PMI). However, no mature management strategy has been established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective observational study, we included consecutive patients who developed PSP \u2265\u20093\u2009s upon AF termination during hospitalization following AF ablation at our center between October 2020 and October 2022. Regular follow\u2010up was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve patients (mean age 66.3\u2009\u00b1\u20098.5\u2009years; 7 females) were included. PSP \u2265\u20093\u2009s upon AF termination initiated at a median of 2.0\u2009days (IQR: 1.3\u20133.8) post\u2010ablation and resolved by 5.0\u2009days (IQR: 3.5\u20137.5). Three patients received temporary PMI, all of which were removed before discharge without further pacing. One patient underwent permanent PMI during hospitalization due to Adams\u2010Stokes syndrome. After discharge, one patient received permanent pacing for symptomatic sinus arrest at 3\u2009months, and another underwent atrioventricular node ablation followed by permanent pacing due to recurrent arrhythmia. The remaining patients had no related symptoms or need for pacing during follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PSP \u2265\u20093\u2009s upon AF termination shortly after catheter ablation appears to be reversible. A watch\u2010and\u2010wait strategy was practical. Management may involve discontinuation of antiarrhythmic drugs or temporary pacing support. A small proportion of patients may ultimately require permanent PMI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anec.70172","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:48:14Z","timestamp":1772970494000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Temporal Characteristics and Management of Prolonged Sinus Pause Following Atrial Fibrillation Termination After Catheter Ablation\u2014A Preliminary Study"],"prefix":"10.1111","volume":"31","author":[{"given":"Yi","family":"Guo","sequence":"first","affiliation":[{"name":"Division of Cardiology Affiliated Hospital of Jiangnan University  Wuxi China"},{"name":"Division of Cardiology The First Affiliated Hospital With Nanjing Medical University  Nanjing 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