{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T04:43:04Z","timestamp":1786336984402,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,3,19]],"date-time":"2019-03-19T00:00:00Z","timestamp":1552953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81370293; 81470023; 81100125"],"award-info":[{"award-number":["81370293; 81470023; 81100125"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Adenosine triphosphate (ATP)\u2010provoked dormant conduction (DC) and pacing for unexcitability are used to identify conduction gaps along the ablation lines after circumferential pulmonary vein isolation (CPVI). We aim to determine whether ATP provocation and pacing are interchangeable as endpoints for ablation of paroxysmal atrial fibrillation (PAF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>A total of 107 patients with PAF were randomly divided into two groups after completion of CPVI. In group I (A\u2010P group, <jats:italic>n<\/jats:italic>\u2009=\u200953), ATP was administered first. If DC was uncovered, additional ablation was performed until ATP tests were negative. Bipolar pacing along the ablation line was performed subsequently. In group II (P\u2010A group, <jats:italic>n<\/jats:italic>\u2009=\u200954), the same protocol was used, but the pacing and the ATP tests were performed in the opposite sequence. The 12\u2010month ablation outcomes of all patients were compared with those of a historical control group of 107 patients with PAF in whom only ATP test was performed. Regardless of which test was performed first, the other modality still identified conduction gaps. In group I, pacing maneuvers identified gaps in 49% (<jats:italic>n<\/jats:italic>\u2009=\u200926) of patients who had negative ATP tests. In group II, ATP tests uncovered DC in 18.5% (<jats:italic>n<\/jats:italic>\u2009=\u200910) of patients in whom pacing identified no gaps. After 12 months, a higher proportion of patients (91.6%) were free from atrial tachyarrhythmias compared with the historical control group (81.3%; <jats:italic>P<\/jats:italic>\u2009=\u20090.031).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pacing along the ablation lines and ATP provocation are complementary tests for evaluating the durability of CPVI and can lead to better long\u2010term outcomes when used in combination.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13901","type":"journal-article","created":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T04:55:44Z","timestamp":1553057744000},"page":"815-823","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Pace capture and adenosine triphosphate provocation are complementary rather than mutually exclusive methods to ensure durable pulmonary vein isolation"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6690-1114","authenticated-orcid":false,"given":"Li\u2010Jun","family":"Zeng","sequence":"first","affiliation":[{"name":"Heart Center Beijing Chao\u2010Yang Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Shi","sequence":"additional","affiliation":[{"name":"Heart Center Beijing Chao\u2010Yang Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Tian","sequence":"additional","affiliation":[{"name":"Heart Center Beijing Chao\u2010Yang Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan\u2010Jiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Heart Center Beijing Chao\u2010Yang Hospital, Capital Medical University Beijing 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