{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:29:49Z","timestamp":1771489789703,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2007,4,11]],"date-time":"2007-04-11T00:00:00Z","timestamp":1176249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:p> <jats:italic>Background:<\/jats:italic> Studies examining AF recurrences post\u2010PVAI base recurrence on patient reporting of symptoms. However, whether asymptomatic recurrences are common is not well known.<\/jats:p><jats:p> <jats:italic>Objective:<\/jats:italic> To assess the incidence of atrial tachycardia\/fibrillation post\u2010PVAI as detected by a PPM and whether these recurrences correlate to symptomatic recurrence.<\/jats:p><jats:p> <jats:italic>Methods:<\/jats:italic> Eighty\u2010six consecutive patients with symptomatic AF and PPMs with programmable mode\u2010switch capability underwent PVAI. Mode switching was programmed post\u2010PVAI to occur at an atrial\u2010sensed rate of &gt;170 bpm. Patients were followed with clinic visits, ECG, and PPM interrogation at 1, 3, 6, and 9 months post\u2010PVAI. The number and duration of mode\u2010switching episodes (MSEs) were recorded at each visit and is presented as median (interquartile range).<\/jats:p><jats:p> <jats:italic>Results:<\/jats:italic> The patients (age 57 \u00b1 8 years, EF 54 \u00b1 10%) had paroxysmal (65%) and persistent (35%) AF pre\u2010PVAI. Sensing, pacing, and lead function were normal for all PPMs at follow\u2010up. Of the 86 patients, 20 (23%) had AF recurrence based on symptoms. All 20 of these patients had appropriate MSEs detected. Of the 66 patients without symptomatic recurrence, 21 (32%) had MSEs detected. In 19 of these patients, MSEs were few in number, compared with patients with symptomatic recurrence (16 [4\u2013256] vs 401 [151\u20132,470], P &lt; 0.01). The durations were all &lt;60 seconds. All of these nonsustained MSEs occurred within the first 3 months post\u2010PVAI, gradually decreasing over time. The other 2 of 21 remaining patients had numerous (1,343 [857\u20131,390]) and sustained (18 \u00b1 12 minutes) MSEs that also persisted beyond 3 months (1 beyond 6 months). Therefore, the incidence of numerous, sustained MSEs in asymptomatic patients post\u2010PVAI was 2 of 66 (3%).<\/jats:p><jats:p> <jats:italic>Conclusions:<\/jats:italic> Detection of atrial tachyarrhythmias by a PPM occurred in 30% of patients without symptomatic AF recurrence. Most of these episodes were &lt;60 seconds and waned within 3 months. Sustained, asymptomatic episodes were uncommon.<\/jats:p>","DOI":"10.1111\/j.1540-8167.2007.00789.x","type":"journal-article","created":{"date-parts":[[2007,4,28]],"date-time":"2007-04-28T13:24:18Z","timestamp":1177766658000},"page":"601-606","source":"Crossref","is-referenced-by-count":29,"title":["Incidence of Atrial Arrhythmias Detected by Permanent Pacemakers (PPM) Post\u2010Pulmonary Vein Antrum Isolation (PVAI) for Atrial Fibrillation (AF): Correlation with Symptomatic Recurrence"],"prefix":"10.1111","volume":"18","author":[{"given":"ATUL","family":"VERMA","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"STEPHEN","family":"MINOR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FETHI","family":"KILICASLAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DIMPI","family":"PATEL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"STEVEN","family":"HAO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SALWA","family":"BEHEIRY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DHANUMJAYA","family":"LAKKIREDDY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. 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