{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T12:12:10Z","timestamp":1781093530503,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"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":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2025,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n \n The available risk prediction models are inadequate to identify a true low\u2010risk patient for developing new\u2010onset atrial fibrillation (AF) after typical atrial flutter (AFL) ablation. We aimed to determine whether adding markers of atrial myopathy to HATCH score (\n h<\/jats:styled-content>\n ypertension,\n a<\/jats:styled-content>\n ge \u226575\u00a0years,\n t<\/jats:styled-content>\n ransient ischemic attack\/stroke,\n c<\/jats:styled-content>\n hronic obstructive pulmonary disease, and\n h<\/jats:styled-content>\n eart failure) can improve prediction of new\u2010onset AF after ablation of typical AFL.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The study included 208 consecutive patients who underwent successful ablation of typical AFL at Minneapolis VA Medical Center and University of Minnesota Medical Center. Patients with history of AF prior to ablation were excluded.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among the 208 patients, 76 (36.5%) developed new\u2010onset AF post AFL ablation. Mean follow\u2010up duration was 62\u00a0\u00b1\u00a031.8\u00a0months. HATCH score was not associated with new\u2010onset AF. When adding atrial myopathy (presence of at least one of the following: PTFV\n 1<\/jats:sub>\n \u00a0>\u00a05000\u00a0\u00b5V*ms, interatrial block determined by biphasic inferior p wave with duration >120\u00a0ms, left atrium (LA) diameter \u226544\u00a0mm, or LA index \u22653\u00a0cm\/m\n 2<\/jats:sup>\n ) to HATCH score (HATCH\u2010A\n 2<\/jats:sub>\n ), the combination was independently associated with new\u2010onset AF. The AF incidence between HATCH\u2010A\n 2<\/jats:sub>\n score of 0\u20131 and \u22652 were 6.7% and 40.5%, respectively (Odds ratio 9.04, 95% confidence interval: 2.05\u201339.81,\n p<\/jats:italic>\n \u00a0=\u00a00.004). Particularly, when HATCH\u2010A\n 2<\/jats:sub>\n score was 0, none of the patients developed AF.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Adding atrial myopathy to HATCH score improved predictability and could be used to delineate a true low\u2010risk patient of new\u2010onset AF after typical AFL ablation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/pace.70044","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T14:36:04Z","timestamp":1757601364000},"page":"1167-1175","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Addition of Atrial Myopathy to HATCH Score for Predicting New\u2010Onset Atrial Fibrillation After Ablation of Atrial Flutter"],"prefix":"10.1111","volume":"48","author":[{"given":"Teerapat","family":"Nantsupawat","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Cardiovascular Division Chiang Mai University Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Medicine Cardiovascular Division Minneapolis VA Medical Center Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeraj","family":"Sathnur","sequence":"additional","affiliation":[{"name":"Department of Medicine Cardiovascular Division University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3507-6411","authenticated-orcid":false,"given":"Supavit","family":"Chesdachai","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Public Health Infectious Diseases and Occupational Medicine Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2154-8596","authenticated-orcid":false,"given":"Selcuk","family":"Adabag","sequence":"additional","affiliation":[{"name":"Department of Medicine Cardiovascular Division Minneapolis VA Medical Center Minneapolis Minnesota USA"},{"name":"Department of Medicine Cardiovascular Division University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8511-6920","authenticated-orcid":false,"given":"David G.","family":"Benditt","sequence":"additional","affiliation":[{"name":"Department of Medicine Cardiovascular Division University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2150-5732","authenticated-orcid":false,"given":"Venkatakrishna N.","family":"Tholakanahalli","sequence":"additional","affiliation":[{"name":"Department of Medicine Cardiovascular Division Minneapolis VA Medical Center Minneapolis Minnesota USA"},{"name":"Department of Medicine Cardiovascular Division University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.109.871665"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2016.03.014"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.12.154"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2014.06.038"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euu379"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-014-0682-6"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.04.008"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa612"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euw161"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747493018799981"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.114.006364"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1997.tb05463.x"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcha.2016.05.006"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.08.066"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.107.754564"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.11.040"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22538"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000267275.68538.8d"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004517"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01698-6"}],"container-title":["Pacing 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