{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T12:09:16Z","timestamp":1759838956746,"version":"3.44.0"},"reference-count":30,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Heart"],"accepted":{"date-parts":[[1998,2,3]]},"published-print":{"date-parts":[[1998,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the natural history of the atrial rhythm of patients with paroxysmal atrial arrhythmias undergoing atrioventricular node ablation and permanent pacemaker implantation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design and setting<\/jats:title>\n                  <jats:p>A retrospective cohort study of consecutive patients identified from the pacemaker database and electrophysiology records of a tertiary referral hospital.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients<\/jats:title>\n                  <jats:p>62 consecutive patients with paroxysmal atrial arrhythmias undergoing atrioventricular node ablation and permanent pacemaker implantation between 1988 and July 1996.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures<\/jats:title>\n                  <jats:p>(1) Atrial rhythm on final follow up ECG, classified as either ordered (sinus rhythm or atrial pacing) or disordered (atrial fibrillation, atrial flutter or atrial tachycardia). (2) Chronic atrial fibrillation, defined as a disordered rhythm on two consecutive ECGs (or throughout a 24 hour Holter recording) with no ordered rhythm subsequently documented.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Survival analysis showed that 75% of patients progressed to chronic atrial fibrillation by 2584 days (86 months). On multiple logistic regression analysis a history of electrical cardioversion, increasing patient age, and VVI pacing were associated with the development of chronic atrial fibrillation. A history of electrical cardioversion and increasing patient age were associated with a disordered atrial rhythm on the final follow up ECG.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Patients with paroxysmal atrial arrhythmias are at high risk of developing chronic atrial fibrillation. A history of direct current cardioversion, increasing patient age at the time of ablation, and VVI pacing are predictive of the development of chronic atrial fibrillation in this patient group.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/hrt.79.6.548","type":"journal-article","created":{"date-parts":[[2014,10,22]],"date-time":"2014-10-22T15:31:45Z","timestamp":1413991905000},"page":"548-553","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Predictors of atrial rhythm after atrioventricular node ablation for the treatment of paroxysmal atrial arrhythmias"],"prefix":"10.1136","volume":"79","author":[{"given":"G M","family":"Gribbin","sequence":"first","affiliation":[{"name":"Department of Cardiology, The Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J P","family":"Bourke","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J M","family":"McComb","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1998,6,1]]},"reference":[{"key":"2025092001524243000_79.6.548.1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.66.2.185"},{"key":"2025092001524243000_79.6.548.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00605-4"},{"key":"2025092001524243000_79.6.548.3","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.73.6.571"},{"key":"2025092001524243000_79.6.548.4","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1111\/j.1540-8159.1994.tb03791.x","article-title":"Early complications after dual chamber versus single chamber pacemaker implantation.","volume":"17","author":"Chauhan","year":"1994","journal-title":"PACE"},{"key":"2025092001524243000_79.6.548.5","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.68.8.163"},{"key":"2025092001524243000_79.6.548.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)90347-6"},{"key":"2025092001524243000_79.6.548.7","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(92)90616-U"},{"key":"2025092001524243000_79.6.548.8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(88)90244-X"},{"key":"2025092001524243000_79.6.548.9","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(90)91379-K"},{"key":"2025092001524243000_79.6.548.10","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1111\/j.1540-8159.1986.tb06678.x","article-title":"The natural history of sick sinus syndrome.","volume":"9","author":"Sutton","year":"1986","journal-title":"PACE"},{"key":"2025092001524243000_79.6.548.11","first-page":"1683","article-title":"Pacemaker therapy for the sick sinus node syndrome. Does the atrially involved pacemaker system lower the frequency of atrial fibrillation and thromboembolic complications as well as mortality?","volume":"119","author":"Hofgartner","year":"1994","journal-title":"Dtsch Med Wochenschr"},{"key":"2025092001524243000_79.6.548.12","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1111\/j.1540-8159.1988.tb06330.x","article-title":"Long-term follow-up of patients treated with VVI pacing and sequential pacing with special reference to VA retrograde conduction.","volume":"11","author":"Egabosti","year":"1988","journal-title":"PACE"},{"key":"2025092001524243000_79.6.548.13","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)90586-9"},{"key":"2025092001524243000_79.6.548.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00162-9"},{"key":"2025092001524243000_79.6.548.15","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198204293061703"},{"key":"2025092001524243000_79.6.548.16","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.3.1045"},{"key":"2025092001524243000_79.6.548.17","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(93)90894-N"},{"key":"2025092001524243000_79.6.548.18","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/S0022-5223(19)34483-6","article-title":"Atrial fibrillation after coronary artery bypass grafting. Is it a disorder of the elderly?","volume":"97","author":"Fuller","year":"1989","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025092001524243000_79.6.548.19","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1996.00440040024003"},{"key":"2025092001524243000_79.6.548.20","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(92)90615-T"},{"key":"2025092001524243000_79.6.548.21","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)03425-9"},{"key":"2025092001524243000_79.6.548.22","first-page":"619","article-title":"Development of post-implant atrial fibrillation during DDDR versus VVIR pacing in the PASE trial.","volume":"19","author":"Stambler","year":"1996","journal-title":"PACE"},{"key":"2025092001524243000_79.6.548.23","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S0002-9149(97)89115-1","article-title":"Atrial fibrillation: maintenance of sinus rhythm versus rate control.","volume":"77","author":"Sopher","year":"1996","journal-title":"Am J Cardiol"},{"key":"2025092001524243000_79.6.548.24","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)80348-9"},{"key":"2025092001524243000_79.6.548.25","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1111\/j.1540-8159.1991.tb02739.x","article-title":"DDIR versus VVIR pacing in patients with paroxysmal atrial tachyarrhythmias.","volume":"14","author":"Vanerio","year":"1991","journal-title":"PACE"},{"key":"2025092001524243000_79.6.548.26","first-page":"1592","article-title":"Dual versus single chamber pacemakers in patients with paroxysmal atrial fibrillation treated with atrioventricular node ablation.","volume":"20","author":"Gribbin","year":"1997","journal-title":"PACE"},{"key":"2025092001524243000_79.6.548.27","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1111\/j.1540-8159.1992.tb03112.x","article-title":"Does dual chamber or atrial pacing prevent atrial fibrillation? The need for a randomized controlled trial.","volume":"15","author":"Lamas","year":"1992","journal-title":"PACE"},{"key":"2025092001524243000_79.6.548.28","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.78.3.224"},{"key":"2025092001524243000_79.6.548.29","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.78.3.218"},{"key":"2025092001524243000_79.6.548.30","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1111\/j.1540-8159.1995.tb06982.x","article-title":"Long-term follow-up of patients treated by radiofrequency ablation of the atrioventricular junction.","volume":"18","author":"Jensen","year":"1995","journal-title":"PACE"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/hrt.79.6.548","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T08:52:50Z","timestamp":1758358370000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/hrt.79.6.548"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,6,1]]},"references-count":30,"journal-issue":{"issue":"6","published-online":{"date-parts":[[1998,6,1]]},"published-print":{"date-parts":[[1998,6,1]]}},"alternative-id":["10.1136\/hrt.79.6.548"],"URL":"https:\/\/doi.org\/10.1136\/hrt.79.6.548","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"type":"print","value":"1355-6037"},{"type":"electronic","value":"1468-201X"}],"subject":[],"published":{"date-parts":[[1998,6,1]]}}}