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Crowley R, Ma J, Morton MB, Vasudevan S, Segan L, William J, Chieng D, Sugumar H, Voskoboinik A, Prabhu S, Ling LH, Kalman JM, Kistler PM. Complications of catheter ablation for atrial fibrillation: Important differences in patients with systolic heart failure. Heart Rhythm 2025; 22:1437-1439. [PMID: 39341435 DOI: 10.1016/j.hrthm.2024.09.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2024] [Revised: 09/09/2024] [Accepted: 09/10/2024] [Indexed: 10/01/2024]
Affiliation(s)
- Rose Crowley
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia
| | - Jeff Ma
- Monash School of Medicine, Monash University, Melbourne, Australia
| | - Matthew B Morton
- Department of Cardiology, Alfred Health, Melbourne, Australia; Monash School of Medicine, Monash University, Melbourne, Australia
| | - Swetha Vasudevan
- Monash School of Medicine, Monash University, Melbourne, Australia
| | - Louise Segan
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia
| | - Jeremy William
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Monash School of Medicine, Monash University, Melbourne, Australia
| | - David Chieng
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia
| | - Hariharan Sugumar
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia
| | - Aleksandr Voskoboinik
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia; Monash School of Medicine, Monash University, Melbourne, Australia
| | - Sandeep Prabhu
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia
| | - Liang-Han Ling
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia
| | - Jonathan M Kalman
- The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia; Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia
| | - Peter M Kistler
- Department of Cardiology, Alfred Health, Melbourne, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia; Monash School of Medicine, Monash University, Melbourne, Australia.
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Elliott AD, Middeldorp ME, McMullen JR, Fatkin D, Thomas L, Gwynne K, Hill AP, Shang C, Hsu MP, Vandenberg JI, Kalman JM, Sanders P. Research Priorities for Atrial Fibrillation in Australia: A Statement From the Australian Cardiovascular Alliance Clinical Arrhythmia Theme. Heart Lung Circ 2024; 33:1523-1532. [PMID: 39244450 DOI: 10.1016/j.hlc.2024.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/09/2024]
Abstract
Atrial fibrillation (AF) is highly prevalent in the Australian community, ranking amongst the highest globally. The consequences of AF are significant. Stroke, dementia and heart failure risk are increased substantially, hospitalisations are amongst the highest for all cardiovascular causes, and Australians living with AF suffer from substantial symptoms that impact quality of life. Australian research has made a significant impact at the global level in advancing the care of patients living with AF. However, new strategies are required to reduce the growing incidence of AF and its associated healthcare demand. The Australian Cardiovascular Alliance (ACvA) has led the development of an arrhythmia clinical theme with the objective of tackling major research priorities to achieve a reduction in AF burden across Australia. In this summary, we highlight these research priorities with particular focus on the strengths of Australian research and the strategies needed to move forward in reducing incident AF and improving outcomes for those who live with this chronic condition.
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Affiliation(s)
- Adrian D Elliott
- Centre for Heart Rhythm Disorders, The University of Adelaide; South Australian Health and Medical Research Institute; and Royal Adelaide Hospital, Adelaide, SA, Australia
| | - Melissa E Middeldorp
- Centre for Heart Rhythm Disorders, The University of Adelaide; South Australian Health and Medical Research Institute; and Royal Adelaide Hospital, Adelaide, SA, Australia; Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Julie R McMullen
- Heart Research Institute, Sydney, NSW, Australia, and Baker Heart and Diabetes Institute, Melbourne, Vic, Australia
| | - Diane Fatkin
- Victor Chang Cardiac Research Institute, Sydney, NSW, Australia; School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales Sydney, Sydney, Australia; Cardiology Department, St Vincent's Hospital, Sydney, NSW, Australia
| | - Liza Thomas
- Department of Cardiology, Westmead Hospital, Western Sydney Local Health District; Westmead Clinical School, The University of Sydney; and South West Clinical School, University of New South Wales Sydney, Sydney, NSW, Australia
| | - Kylie Gwynne
- Djurali Centre for Aboriginal and Torres Strait Islander Health Research, Heart Research Institute, Sydney, NSW, Australia
| | - Adam P Hill
- Victor Chang Cardiac Research Institute, Sydney, NSW, Australia; School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales Sydney, Sydney, Australia
| | - Catherine Shang
- Australian Cardiovascular Alliance, Melbourne, Vic, Australia
| | - Meng-Ping Hsu
- Australian Cardiovascular Alliance, Melbourne, Vic, Australia
| | - Jamie I Vandenberg
- Victor Chang Cardiac Research Institute, Sydney, NSW, Australia; School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales Sydney, Sydney, Australia
| | - Jonathan M Kalman
- Department of Cardiology, Royal Melbourne Hospital; and University of Melbourne, Melbourne, Vic, Australia
| | - Prashanthan Sanders
- Centre for Heart Rhythm Disorders, The University of Adelaide; South Australian Health and Medical Research Institute; and Royal Adelaide Hospital, Adelaide, SA, Australia.
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Truong ET, Lyu Y, Ihdayhid AR, Lan NSR, Dwivedi G. Beyond Clinical Factors: Harnessing Artificial Intelligence and Multimodal Cardiac Imaging to Predict Atrial Fibrillation Recurrence Post-Catheter Ablation. J Cardiovasc Dev Dis 2024; 11:291. [PMID: 39330349 PMCID: PMC11432286 DOI: 10.3390/jcdd11090291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2024] [Revised: 09/09/2024] [Accepted: 09/16/2024] [Indexed: 09/28/2024] Open
Abstract
Atrial fibrillation (AF) is the most common type of cardiac arrhythmia, with catheter ablation being a key alternative to medical treatment for restoring normal sinus rhythm. Despite advances in understanding AF pathogenesis, approximately 35% of patients experience AF recurrence at 12 months after catheter ablation. Therefore, accurate prediction of AF recurrence occurring after catheter ablation is important for patient selection and management. Conventional methods for predicting post-catheter ablation AF recurrence, which involve the use of univariate predictors and scoring systems, have played a supportive role in clinical decision-making. In an ever-changing landscape where technology is becoming ubiquitous within medicine, cardiac imaging and artificial intelligence (AI) could prove pivotal in enhancing AF recurrence predictions by providing data with independent predictive power and identifying key relationships in the data. This review comprehensively explores the existing methods for predicting the recurrence of AF following catheter ablation from different perspectives, including conventional predictors and scoring systems, cardiac imaging-based methods, and AI-based methods developed using a combination of demographic and imaging variables. By summarising state-of-the-art technologies, this review serves as a roadmap for developing future prediction models with enhanced accuracy, generalisability, and explainability, potentially contributing to improved care for patients with AF.
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Affiliation(s)
- Edward T. Truong
- School of Biomedical Sciences, University of Western Australia, Perth, WA 6009, Australia;
- Harry Perkins Institute of Medical Research, University of Western Australia, Perth, WA 6009, Australia; (Y.L.); (A.R.I.); (N.S.R.L.)
| | - Yiheng Lyu
- Harry Perkins Institute of Medical Research, University of Western Australia, Perth, WA 6009, Australia; (Y.L.); (A.R.I.); (N.S.R.L.)
- Department of Computer Science and Software Engineering, School of Physics, Mathematics and Computing, University of Western Australia, Perth, WA 6009, Australia
| | - Abdul Rahman Ihdayhid
- Harry Perkins Institute of Medical Research, University of Western Australia, Perth, WA 6009, Australia; (Y.L.); (A.R.I.); (N.S.R.L.)
- Department of Cardiology, Fiona Stanley Hospital, Perth, WA 6150, Australia
- Curtin Medical School, Curtin University, Perth, WA 6102, Australia
| | - Nick S. R. Lan
- Harry Perkins Institute of Medical Research, University of Western Australia, Perth, WA 6009, Australia; (Y.L.); (A.R.I.); (N.S.R.L.)
- Department of Cardiology, Fiona Stanley Hospital, Perth, WA 6150, Australia
- Medical School, University of Western Australia, Perth, WA 6009, Australia
| | - Girish Dwivedi
- Harry Perkins Institute of Medical Research, University of Western Australia, Perth, WA 6009, Australia; (Y.L.); (A.R.I.); (N.S.R.L.)
- Department of Cardiology, Fiona Stanley Hospital, Perth, WA 6150, Australia
- Medical School, University of Western Australia, Perth, WA 6009, Australia
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Agarwal R, Mahajan R. To monitor, or not to monitor, that is the question. Indian Pacing Electrophysiol J 2024; 24:189-191. [PMID: 38997110 PMCID: PMC11361891 DOI: 10.1016/j.ipej.2024.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/14/2024] Open
Affiliation(s)
- Rakesh Agarwal
- University of Adelaide, Adelaide, Australia; Lyell McEwin Hospital, Northern Adelaide Local Health Network (NALHN), Elizabeth Vale, South Australia, Australia
| | - Rajiv Mahajan
- University of Adelaide, Adelaide, Australia; Lyell McEwin Hospital, Northern Adelaide Local Health Network (NALHN), Elizabeth Vale, South Australia, Australia.
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Pepe S. On the Role of Imaging and Interventions Targeting Heart Diseases, Atrial Fibrillation and Restoration of Patent Coronary Arteries. Heart Lung Circ 2024; 33:761-763. [PMID: 38910011 DOI: 10.1016/j.hlc.2024.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/25/2024]
Affiliation(s)
- Salvatore Pepe
- Editor-in-Chief, Heart Lung and Circulation, Sydney, NSW, Australia; Murdoch Children's Research Institute, Heart Research Group and Department of Paediatrics, University of Melbourne, Royal Children's Hospital Melbourne, Vic, Australia.
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