{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T14:40:22Z","timestamp":1718721622873},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["103\u20102314\u2010B\u2010038\u2010055","107\u20102314\u2010B\u2010038\u2010097\u2010MY2"],"award-info":[{"award-number":["103\u20102314\u2010B\u2010038\u2010055","107\u20102314\u2010B\u2010038\u2010097\u2010MY2"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004700","name":"Taipei Medical University","doi-asserted-by":"publisher","award":["TMU109\u2010AE1\u2010B26"],"award-info":[{"award-number":["TMU109\u2010AE1\u2010B26"]}],"id":[{"id":"10.13039\/501100004700","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Atrial fibrillation (AF) is the most common sustained atrial arrhythmia. Accurate detection of the timing and possibility of AF termination is vital for optimizing rhythm and rate control strategies. The present study evaluated whether the ventricular response (VR) in AF offers a distinctive electrocardiographic indicator for predicting AF termination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients experiencing sustained paroxysmal AF for more than 3\u00a0h were observed using 24\u2010h ambulatory Holter monitoring. VR within 5\u00a0min before AF termination (VR <jats:sub>0\u20135\u00a0min, BAFT<\/jats:sub>) was compared with VR observed during the 60th to 65th min (VR <jats:sub>60\u201365\u00a0min, BAFT<\/jats:sub>) and the 120th to 125th min (VR <jats:sub>120\u2013125\u00a0min, BAFT<\/jats:sub>) before AF termination. Maximum and minimum VRs were calculated on the basis of the average of the highest and lowest VRs across 10 consecutive heartbeats.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 37 episodes of paroxysmal AF revealed that the minimum VR<jats:sub>0\u20135\u00a0min, BAFT<\/jats:sub> (64\u00a0\u00b1\u00a020\u00a0bpm) was significantly faster than both the minimum VR<jats:sub>120\u2013125\u00a0min, BAFT<\/jats:sub> (56\u00a0\u00b1\u00a015\u00a0bpm) and the minimum VR<jats:sub>60\u201365\u00a0min, BAFT<\/jats:sub>\u00a0(57\u00a0\u00b1\u00a016\u00a0bpm, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). Similarly, the maximum VR<jats:sub>0\u20135\u00a0min, BAFT<\/jats:sub> (158\u00a0\u00b1\u00a049\u00a0bpm) was significantly faster than the maximum VR<jats:sub>120\u2013125\u00a0min, BAFT<\/jats:sub> (148\u00a0\u00b1\u00a045\u00a0bpm, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). In the daytime, the minimum VR<jats:sub>0\u20135\u00a0min, BAFT<\/jats:sub> (66\u00a0\u00b1\u00a020\u00a0bpm) was significantly faster than both the minimum VR<jats:sub>60\u201365\u00a0min, BAFT<\/jats:sub> (58\u00a0\u00b1\u00a017\u00a0bpm) and minimum VR<jats:sub>120\u2013125\u00a0min, BAFT<\/jats:sub>\u00a0(57\u00a0\u00b1\u00a015\u00a0bpm, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). However, the mean and maximum VR<jats:sub>0\u20135\u00a0min, BAFT<\/jats:sub> in the daytime were similar to the mean and maximum VR<jats:sub>120\u2013125\u00a0min<\/jats:sub> in the daytime, respectively. At night, the minimum, mean, and maximum VR<jats:sub>0\u20135\u00a0min, BAFT<\/jats:sub> were similar to the minimum, mean, and maximum VR<jats:sub>120\u2013125\u00a0min<\/jats:sub>, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Elevated VR rates during AF episodes may be predictors for the termination of AF, especially during the daytime and in patients with nondilated left atria. These findings may guide the development of clinical approaches to rhythm control in AF.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14985","type":"journal-article","created":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T16:44:12Z","timestamp":1713372252000},"page":"843-852","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ventricular response as a predictor of the termination of sustained paroxysmal atrial fibrillation"],"prefix":"10.1111","volume":"47","author":[{"given":"Jen\u2010Hung","family":"Huang","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"},{"name":"Department of Internal Medicine School of Medicine College of Medicine Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yung\u2010Kuo","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"},{"name":"Department of Internal Medicine School of Medicine College of Medicine Taipei Medical University  Taipei Taiwan"},{"name":"Cardiovascular Research Center, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Hsiung","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"},{"name":"Department of Internal Medicine School of Medicine College of Medicine Taipei Medical University  Taipei Taiwan"},{"name":"Cardiovascular Research Center, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih\u2010Ann","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Cardiovascular Center Taichung Veterans General Hospital  Taipei Taiwan"},{"name":"Department of Post Baccalaureate Medicine, College of Medicine National Chung Hsing University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi\u2010Jen","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"},{"name":"Cardiovascular Research Center, Wan Fang Hospital Taipei Medical University  Taipei Taiwan"},{"name":"Graduate Institute of Clinical Medicine Taipei Medical University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.18.2370"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2010.08.042"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/M13-1467"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021328"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2019422"},{"key":"e_1_2_10_7_1","first-page":"698","article-title":"Management of atrial fibrillation: the need for AFFIRMative action AFFIRM investigators. 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