{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:46:19Z","timestamp":1760150779884,"version":"build-2065373602"},"reference-count":14,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T00:00:00Z","timestamp":1642982400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Atrial anti-tachycardia pacing (A-ATP) of the right atrium (RA) has been shown to decrease the burden of atrial fibrillation (AF) in patients with dual-chamber pacemakers. The aim of this study is to identify the novel predictors of effective A-ATP for terminating AF in patients with AF undergoing catheter ablation. Methods: This study included 41 consecutive patients undergoing a first ablation procedure for paroxysmal (PAF: n = 21) or persistent (PEF: n = 20) AF. We prospectively evaluated predictors of AF termination after A-ATP. The coefficient of variation (CoV = SD\/mean \u00d7 100) of the dominant frequencies (DFs) was calculated to evaluate the variability in atrial activation. Results: AF was terminated by A-ATP in 29% of PAF and 5% of PEF patients. In these patients, simultaneous high-rate pacing from the RA and the coronary sinus (CS) terminated AF in 71% of patients, in whom the mean AF cycle length (CL) before A-ATP was longer (214 \u00b1 23 vs. 177 \u00b1 35 ms, p = 0.02) and became slower after A-ATP (234 \u00b1 37 vs. 176 \u00b1 32 ms, p &lt; 0.01), compared to unsuccessful patients. The CoV of the DFs before A-ATP were lower in both RA (6.2 \u00b1 2.0 vs. 15.3 \u00b1 7.9, p = 0.02) and CS (11.0 \u00b1 7.9 vs. 24.3 \u00b1 9.3, p &lt; 0.01) in successful patients. Conclusions: Simultaneous biatrial A-ATP from the RA and CS could terminate AF in patients with PAF. The predictors for successful termination include longer AF CL and higher AF stability.<\/jats:p>","DOI":"10.3390\/jcm11030575","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T20:40:18Z","timestamp":1643143218000},"page":"575","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utility of Simultaneous Biatrial Atrial Anti-Tachycardia Pacing for the Termination of Atrial Fibrillation during Catheter Ablation of Atrial Fibrillation"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6964-0653","authenticated-orcid":false,"given":"Shingo","family":"Maeda","sequence":"first","affiliation":[{"name":"Arrhythmia Advanced Therapy Center, AOI Universal Hospital, Kawasaki 210-0822, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiko","family":"Goya","sequence":"additional","affiliation":[{"name":"Heart Rhythm Center, Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo 113-8510, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Shirai","sequence":"additional","affiliation":[{"name":"Heart Rhythm Center, National Hospital Organization Disaster Medical Center, Tokyo 190-0014, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7774-7477","authenticated-orcid":false,"given":"Atsuhiko","family":"Yagishita","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Tokai University School of Medicine, Isehara 259-1193, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susumu","family":"Tao","sequence":"additional","affiliation":[{"name":"Heart Rhythm Center, Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo 113-8510, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8608-8899","authenticated-orcid":false,"given":"Jackson","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology, University of Michigan, Ann Arbor, MI 48109, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3876-6074","authenticated-orcid":false,"given":"Ruben","family":"Casado Arroyo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, H\u00f4pital Erasme, Universit\u00e9 Libre de Bruxelles, 1070 Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihide","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shinyurigaoka General Hospital, Kawasaki 215-0026, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihoko","family":"Kawabata","sequence":"additional","affiliation":[{"name":"Arrhythmia Advanced Therapy Center, AOI Universal Hospital, Kawasaki 210-0822, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuo","family":"Sasano","sequence":"additional","affiliation":[{"name":"Heart Rhythm Center, Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo 113-8510, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenzo","family":"Hirao","sequence":"additional","affiliation":[{"name":"Arrhythmia Advanced Therapy Center, AOI Universal Hospital, Kawasaki 210-0822, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1093\/eurheartj\/eht491","article-title":"Device-detected atrial fibrillation and risk for stroke: An analysis of >10,000 patients from the SOS AF project (Stroke preventiOn Strategies based on Atrial Fibrillation information from implanted devices)","volume":"35","author":"Boriani","year":"2014","journal-title":"Eur. 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