{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:18:59Z","timestamp":1791537539602,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"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":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n The conventional 3\u2010month blanking period after atrial fibrillation (AF) ablation has been applied irrespective of energy modality. Pulsed field ablation (PFA), a nonthermal technique, may elicit different tissue responses, questioning the appropriateness of this timeframe. We performed a meta\u2010analysis to evaluate whether early recurrence of atrial tachyarrhythmia (ERAT) after PFA predicts late recurrence (LRAT) and to assess the duration of the traditional blanking period.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We systematically searched PubMed, Embase, and Cochrane Library through April 2025 for studies reporting ERAT and LRAT following PFA for AF.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Nine studies (\n N<\/jats:italic>\n \u2009=\u20093384) met the inclusion criteria. ERAT within 3 months post\u2010PFA occurred in 14% of patients. Patients with ERAT had significantly higher odds of LRAT (pooled OR: 8.66; 95% CI: 5.69\u201313.18;\n p<\/jats:italic>\n \u2009<\u20090.001). Importantly, ERAT in the first month was not predictive of LRAT (OR: 1.30;\n p<\/jats:italic>\n \u2009=\u20090.52), whereas ERAT in Months 2\u20133 strongly predicted LRAT.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n ERAT after PFA is a strong predictor of LRAT, especially if occurring beyond the first month. These findings challenge the traditional 3\u2010month blanking period for PFA and support shortening or individualizing this window. A tailored post\u2010PFA surveillance approach focusing on arrhythmias beyond 1 month may improve timely interventions and long\u2010term outcomes. Prospective studies are needed to refine blanking period duration for PFA.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jce.70245","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T07:00:14Z","timestamp":1768028414000},"page":"429-433","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prognostic Impact of Early Recurrence Following Pulsed Field Ablation: A Meta\u2010Analysis"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1630-1700","authenticated-orcid":false,"given":"Esteban","family":"Arevalo","sequence":"first","affiliation":[{"name":"Loma Linda University Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar","family":"Erazo","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans","family":"Serpa","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1310-1590","authenticated-orcid":false,"given":"Andr\u00e9","family":"Rivera","sequence":"additional","affiliation":[{"name":"Universidade Nove de Julho S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakrin","family":"Kewcharoen","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7734-8660","authenticated-orcid":false,"given":"Rahul","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Loma Linda University Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jalaj","family":"Garg","sequence":"additional","affiliation":[{"name":"Loma Linda University Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2023.11.001"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2025.03.161"},{"issue":"2","key":"e_1_2_10_4_1","article-title":"Early Versus Late Atrial Fibrillation Recurrence After Pulsed Field Ablation: Insights From the admIRE Trial","volume":"27","author":"Di Biase L.","year":"2025","journal-title":"Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of 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