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1. Correction: Electrophysiology lab efficiency comparison between cryoballoon and point-by-point radiofrequency ablation: a German sub-analysis of the FREEZE Cohort study

Author

Metzner, Andreas, Straube, Florian, Tilz, Roland R., Kuniss, Malte, Noelker, Georg, Tebbenjohanns, Juergen, Andresen, Dietrich, Wieneke, Heinrich, Stellbrink, Christoph, Franke, Jennifer, Dorwarth, Uwe, Carion, Phuong Lien, Holbrook, Reece, Hochadel, Matthias, Senges, Jochen, Hoffmann, Ellen, and Kuck, Karl-Heinz

Published
2023
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2. Electrophysiology lab efficiency comparison between cryoballoon and point-by-point radiofrequency ablation: a German sub-analysis of the FREEZE Cohort study

Author

Metzner, Andreas, Straube, Florian, Tilz, Roland R., Kuniss, Malte, Noelker, Georg, Tebbenjohanns, Juergen, Andresen, Dietrich, Wieneke, Heinrich, Stellbrink, Christoph, Franke, Jennifer, Dorwarth, Uwe, Carion, Phuong Lien, Holbrook, Reece, Hochadel, Matthias, Senges, Jochen, Hoffmann, Ellen, and Kuck, Karl-Heinz

Published
2023
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4. Discontinuation versus continuation of renin-angiotensin-system inhibitors in COVID-19 (ACEI-COVID): a prospective, parallel group, randomised, controlled, open-label trial

Author

Bantkowiak, Marcin, Baur, Gabriele, Baylacher, Monika, Beaucamp, Marcel, Berger, Manuel, Besch, Lisa, Brunner, Stefan, Budweiser, Stephan, Bugger, Heiko, Coletti, Raffaele, Dorwarth, Uwe, Egresits, Jozsef, Eiffener, Elodie, Faul, Christian, Finkenstedt, Armin, Gatos, Konstantinos, Gauchel, Nadine, Gindele, Frank, Grander, Wilhelm, Gunschl, Markus, Hartig, Frank, Hecht, Moritz, Heer, Tobias, Heger, Lukas, Hentrich, Marcus, Horvath, Lena, Keta, Dritan, Kiechl, Stefan, Kirchmaier, Rudolf, Klein, Andreas, Klemm, Mathias, Kolesnik, Ewald, König, Andreas, Kossmann, Hans Christian, Kropacek, Jana, Lanser, Lukas, Lother, Achim, Löw, Anja, Mahabadi, Amir-Abbas, Malleier, Stefan, Mayer, Gert, Müller, Christoph, Müller-Wieland, Dirk, Nagel, Bernhard, Neuwirt, Hannes, Olivier, Christoph, Raunegger, Thomas, Reindl, Martin, Reinstadler, Sebastian, Riesinger, Lisa, Schäffner, Michael, Schier, Johannes, Schock, Julia, Schönherr, Peter, Schulz, Martina, Schütz, Thomas, Schwarz, Johannes, Siebermair, Johannes, Siry, Marcus, Spaur, Anna, Sturm, Wolfgang, Tessadri, Kristin, Theurl, Fabian, Theurl, Markus, Thommes, Liz, Tiller, Christina, Toifl, Michael, Totzeck, Matthias, von zur Mühlen, Hedda, Vonderlin, Nadine, Wakili, Reza, Wendtner, Clemens, Wenner, Felix, Wimmert-Roidl, Daniela, Zabernigg, August, Bauer, Axel, Schreinlechner, Michael, Sappler, Nikolay, Dolejsi, Theresa, Tilg, Herbert, Aulinger, Benedikt A, Weiss, Günter, Bellmann-Weiler, Rosa, Adolf, Christian, Wolf, Dominik, Pirklbauer, Markus, Graziadei, Ivo, Gänzer, Hannes, von Bary, Christian, May, Andreas E, Wöll, Ewald, von Scheidt, Wolfgang, Rassaf, Tienush, Duerschmied, Daniel, Brenner, Christoph, Kääb, Stefan, Metzler, Bernhard, Joannidis, Michael, Kain, Hans-Ulrich, Kaiser, Norbert, Schwinger, Robert, Witzenbichler, Bernhard, Alber, Hannes, Straube, Florian, Hartmann, Niels, Achenbach, Stephan, von Bergwelt-Baildon, Michael, von Stülpnagel, Lukas, Schoenherr, Sebastian, Forer, Lukas, Embacher-Aichhorn, Sabine, Mansmann, Ulrich, Rizas, Konstantinos D, and Massberg, Steffen

Published
2021
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5. Autorenverzeichnis

Author

Dorwarth, Uwe, primary, von Eckardstein-Thumb, Eva, additional, Gross-Ellinger, Hagen, additional, Hein-Rothweiler, Ralph, additional, Hug, Martin, additional, Klauss, Volker, additional, König, Andreas, additional, Krötz, Florian, additional, Leibig, Marcus, additional, Lüftl, Stefan, additional, Rieber, Johannes, additional, Schmieder, Sebastian, additional, Spes, Christoph, additional, Straube, Florian, additional, Zwermann, Ludwig, additional, and Sohn, Hae-Young, additional

Published
2020
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6. Vorhofflimmern früher erkennen, besser verstehen, erfolgreich behandeln

Author

Straube, Florian, Riess, Lukas, Dorwarth, Uwe, and Hoffmann, Ellen

Abstract

Given its increasing prevalence, atrial fibrillation (AF) requires increasing attention from general practitioners, internists and cardiologists. It is therefore essential to provide information about the latest advances in AF treatment. The treatment strategy anchored in the guidelines along the CC-to-ABC scheme (Confirm, Characterize - to - Anticoagulation, Better Symptom Control, Comorbidities Management) should also include early rhythm control. Catheter ablation has been established as a safe and effective therapy for restoring and maintaining sinus rhythm. Several studies have shown its superiority over antiarrhythmic drug therapy. By rhythm control, catheter ablation has the potential to improve patients´ quality of live and left ventricular function, as well as reduce the risk of stroke. For selected patients, particularly those with heart failure, catheter ablation is the first-line treatment. Successful AF treatment requires a proactive approach. Thus, it is important to become familiar with the CC-to-ABC scheme, as well as catheter ablation, as effective strategies for treating AF and improve patient prognosis.

Published
2024
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7. Impact of intracardiac echocardiography usage on the safety of cryoballoon atrial fibrillation ablation: Subanalysis of the prospective FREEZE cluster cohort study.

Author

Pongratz, Janis, Kuniss, Malte, Wu, Liqun, Tebbenjohanns, Jürgen, Nölker, Georg, Dorwarth, Uwe, Kuck, Karl‐Heinz, Jochen, Senges, Hoffmann, Ellen, and Straube, Florian

Subjects
SURGICAL therapeutics, CARDIAC surgery, RELATIVE medical risk, ATRIAL arrhythmias, CONFIDENCE intervals, TRANSESOPHAGEAL echocardiography, MAJOR adverse cardiovascular events, ATRIAL fibrillation, CRYOSURGERY, CATHETER ablation, SURGICAL complications, MANN Whitney U Test, PATIENT readmissions, DISEASE incidence, RISK assessment, CARDIAC tamponade, COMPARATIVE studies, FLUOROSCOPY, SEX distribution, DISEASE relapse, TREATMENT effectiveness, DESCRIPTIVE statistics, CHI-squared test, PULMONARY veins, ODDS ratio, STATISTICAL models, DATA analysis software, LOGISTIC regression analysis, SECONDARY analysis, LEFT heart atrium, LONGITUDINAL method, DISEASE risk factors
Abstract

Introduction: Cryoballoon ablation (CBA) aiming at pulmonary vein isolation (PVI) became a standardized atrial fibrillation (AF) ablation procedure. Life‐threatening complications like cardiac tamponade exist. Intracardiac echocardiography (ICE) usage is associated with superior safety in radiofrequency ablation. It is unclear if ICE has an impact on safety of CBA. Methods: The FREEZE Cohort (NCT01360008) subanalysis included patients undergoing "PVI only" CBA. Patients with intraprocedural transesophageal echocardiography were excluded. Group A comprises conventional, group B ICE‐guided CBA. Periprocedural results were compared. Results: From 2011 to 2016, a total of 4189 patients were enrolled, and 1906 (45.5%) were included in this subanalysis, split up in two groups (A: 1066 [55.9%], B: 840 [44.1%]). Group A was younger (60.6 ± 10.8 vs. 62.4 ± 10.5 years, p <.001), with smaller left atria (41 vs. 43 mm, p <.001), and less persistent AF (23.1 vs. 38.1%, p <.001). Procedure, left atrial, and fluoroscopy times were shorter in group A as compared to group B. Dose area product was significantly higher in group A (2911 vs. 2072 cGyxcm2, p <.001). In‐hospital major adverse cerebrovascular and cardiac event rates including two deaths in group A were not different between groups (0.5% vs. 0.1%, p =.18). The rate of total procedural (10.4% vs. 5.1%, p <.001) and major complications (3.2% vs. 1.3%, p <.001) was significantly higher in group A. Cardiac tamponade occurred significantly more frequently in group A (8 [0.8%] vs. 1 [0.1%], p =.046). Independent predictors for major complications were female sex (odds ratio [OR] 2.03, p =.03) and non‐ICE usage (OR 2.38, p =.02). No differences were observed for persistent phrenic nerve palsy, nor for groin complications. Conclusion: CBA was significantly safer and required less radiation if ICE was used, although the procedures were more complex. The risk of groin complications was not increased with ICE usage. Non‐ICE usage was the only modifiable independent predictor of major complications. [ABSTRACT FROM AUTHOR]

Published
2023
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8. Autorenverzeichnis

Author

Dorwarth, Uwe, primary, von Eckardstein-Thumb, Eva, additional, Gross-Ellinger, Hagen, additional, Hein-Rothweiler, Ralph, additional, Hug, Martin, additional, Klauss, Volker, additional, König, Andreas, additional, Krötz, Florian, additional, Leibig, Marcus, additional, Lüftl, Stefan, additional, Rieber, Johannes, additional, Schmieder, Sebastian, additional, Sohn, Hae-Young, additional, Spes, Christoph, additional, Straube, Florian, additional, Zwermann, Ludwig, additional, and Schiele, Thomas, additional

Published
2017
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13. Cryoballoon Ablation Strategy in Persistent Atrial Fibrillation

Author

Straube, Florian, primary, Pongratz, Janis, additional, Kosmalla, Alexander, additional, Brueck, Benedikt, additional, Riess, Lukas, additional, Hartl, Stefan, additional, Tesche, Christian, additional, Ebersberger, Ullrich, additional, Wankerl, Michael, additional, Dorwarth, Uwe, additional, and Hoffmann, Ellen, additional

Published
2021
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14. Cardiac computed tomography angiography‐derived analysis of left atrial appendage morphology and left atrial dimensions for the prediction of atrial fibrillation recurrence after pulmonary vein isolation

Author

Straube, Florian, primary, Pongratz, Janis, additional, Hartl, Stefan, additional, Brueck, Benedikt, additional, Tesche, Christian, additional, Ebersberger, Ullrich, additional, Helmberger, Thomas, additional, Crispin, Alexander, additional, Wankerl, Michael, additional, Dorwarth, Uwe, additional, and Hoffmann, Ellen, additional

Published
2021
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15. Autorinnen und Autoren

Author

Dorwarth, Uwe, primary, Eckardstein-Thumb, Eva von, additional, Gross-Ellinger, Hagen, additional, Hein-Rothweiler, Ralph, additional, Hug, Martin, additional, Klauss, Volker, additional, König, Andreas, additional, Krötz, Florian, additional, Leibig, Marcus, additional, Lüftl, Stefan, additional, Rieber, Johannes, additional, Schiele, Thomas, additional, Schmieder, Sebastian, additional, Sohn, Hae-Young, additional, Spes, Christoph, additional, and Straube, Florian, additional

Published
2014
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16. Discontinuation versus continuation of renin-angiotensin-system inhibitors in COVID-19 (ACEI-COVID): a prospective, parallel group, randomised, controlled, open-label trial

Author

Bauer, Axel, primary, Schreinlechner, Michael, additional, Sappler, Nikolay, additional, Dolejsi, Theresa, additional, Tilg, Herbert, additional, Aulinger, Benedikt A, additional, Weiss, Günter, additional, Bellmann-Weiler, Rosa, additional, Adolf, Christian, additional, Wolf, Dominik, additional, Pirklbauer, Markus, additional, Graziadei, Ivo, additional, Gänzer, Hannes, additional, von Bary, Christian, additional, May, Andreas E, additional, Wöll, Ewald, additional, von Scheidt, Wolfgang, additional, Rassaf, Tienush, additional, Duerschmied, Daniel, additional, Brenner, Christoph, additional, Kääb, Stefan, additional, Metzler, Bernhard, additional, Joannidis, Michael, additional, Kain, Hans-Ulrich, additional, Kaiser, Norbert, additional, Schwinger, Robert, additional, Witzenbichler, Bernhard, additional, Alber, Hannes, additional, Straube, Florian, additional, Hartmann, Niels, additional, Achenbach, Stephan, additional, von Bergwelt-Baildon, Michael, additional, von Stülpnagel, Lukas, additional, Schoenherr, Sebastian, additional, Forer, Lukas, additional, Embacher-Aichhorn, Sabine, additional, Mansmann, Ulrich, additional, Rizas, Konstantinos D, additional, Massberg, Steffen, additional, Bantkowiak, Marcin, additional, Baur, Gabriele, additional, Baylacher, Monika, additional, Beaucamp, Marcel, additional, Berger, Manuel, additional, Besch, Lisa, additional, Brunner, Stefan, additional, Budweiser, Stephan, additional, Bugger, Heiko, additional, Coletti, Raffaele, additional, Dorwarth, Uwe, additional, Egresits, Jozsef, additional, Eiffener, Elodie, additional, Faul, Christian, additional, Finkenstedt, Armin, additional, Gatos, Konstantinos, additional, Gauchel, Nadine, additional, Gindele, Frank, additional, Grander, Wilhelm, additional, Gunschl, Markus, additional, Hartig, Frank, additional, Hecht, Moritz, additional, Heer, Tobias, additional, Heger, Lukas, additional, Hentrich, Marcus, additional, Horvath, Lena, additional, Keta, Dritan, additional, Kiechl, Stefan, additional, Kirchmaier, Rudolf, additional, Klein, Andreas, additional, Klemm, Mathias, additional, Kolesnik, Ewald, additional, König, Andreas, additional, Kossmann, Hans Christian, additional, Kropacek, Jana, additional, Lanser, Lukas, additional, Lother, Achim, additional, Löw, Anja, additional, Mahabadi, Amir-Abbas, additional, Malleier, Stefan, additional, Mayer, Gert, additional, Müller, Christoph, additional, Müller-Wieland, Dirk, additional, Nagel, Bernhard, additional, Neuwirt, Hannes, additional, Olivier, Christoph, additional, Raunegger, Thomas, additional, Reindl, Martin, additional, Reinstadler, Sebastian, additional, Riesinger, Lisa, additional, Schäffner, Michael, additional, Schier, Johannes, additional, Schock, Julia, additional, Schönherr, Peter, additional, Schulz, Martina, additional, Schütz, Thomas, additional, Schwarz, Johannes, additional, Siebermair, Johannes, additional, Siry, Marcus, additional, Spaur, Anna, additional, Sturm, Wolfgang, additional, Tessadri, Kristin, additional, Theurl, Fabian, additional, Theurl, Markus, additional, Thommes, Liz, additional, Tiller, Christina, additional, Toifl, Michael, additional, Totzeck, Matthias, additional, von zur Mühlen, Hedda, additional, Vonderlin, Nadine, additional, Wakili, Reza, additional, Wendtner, Clemens, additional, Wenner, Felix, additional, Wimmert-Roidl, Daniela, additional, and Zabernigg, August, additional

Published
2021
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22. Impact of age on the outcome of cryoballoon ablation as the primary approach in the interventional treatment of atrial fibrillation: Insights from a large all‐comer study

Author

Hartl, Stefan, primary, Dorwarth, Uwe, additional, Pongratz, Janis, additional, Aurich, Florian, additional, Brück, Benedikt, additional, Tesche, Christian, additional, Ebersberger, Ullrich, additional, Wankerl, Michael, additional, Hoffmann, Ellen, additional, and Straube, Florian, additional

Published
2021
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32. Recommendations for competitive sports participation in athletes with cardiovascular disease: A consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology

Author

Pelliccia, Antonio, Fagard, Robert, Bjørnstad, Hans Halvor, Anastassakis, Aris, Arbustini, Eloisa, Assanelli, Deodato, Biffi, Alessandro, Borjesson, Mats, Carrè, François, Corrado, Domenico, Delise, Pietro, Dorwarth, Uwe, Hirth, Asle, Heidbuchel, Hein, Hoffmann, Ellen, Mellwig, Klaus P., Panhuyzen-Goedkoop, Nicole, Pisani, Angela, Solberg, Erik E., van-Buuren, Frank, Vanhees, Luc, Blomstrom-Lundqvist, Carina, Deligiannis, Asterios, Dugmore, Dorian, Glikson, Michael, Hoff, Per Ivar, Hoffmann, Andreas, Hoffmann, Erik, Horstkotte, Dieter, Nordrehaug, Jan Erik, Oudhof, Jan, McKenna, William J., Penco, Maria, Priori, Silvia, Reybrouck, Tony, Senden, Jeff, Spataro, Antonio, and Thiene, Gaetano

Published
2005

38. Outcomes of cryoballoon or radiofrequency ablation in symptomatic paroxysmal or persistent atrial fibrillation.

Author

Hoffmann, Ellen, Straube, Florian, Wegscheider, Karl, Kuniss, Malte, Andresen, Dietrich, Wu, Li-Qun, Tebbenjohanns, Jürgen, Noelker, Georg, Tilz, Roland Richard, Chun, Julian Kyoung Ryul, Franke, Andreas, Stellbrink, Christoph, Garcia-Alberola, Arcadi, Dorwarth, Uwe, Metzner, Andreas, Ouarrak, Taoufik, Brachmann, Johannes, Kuck, Karl-Heinz, Senges, Jochen, and Investigators, FREEZE Cohort Study

Subjects
RESEARCH, RESEARCH methodology, CRYOSURGERY, CATHETER ablation, ATRIAL fibrillation, SURGICAL complications, PATIENT readmissions, EVALUATION research, MEDICAL cooperation, TREATMENT effectiveness, DISEASE relapse, COMPARATIVE studies, REOPERATION, RADIATION doses, LONGITUDINAL method, PROPORTIONAL hazards models
Abstract

Aims: To evaluate the effectiveness and safety of cryoballoon ablation (CBA) compared with radiofrequency ablation (RFA) for symptomatic paroxysmal or drug-refractory persistent atrial fibrillation (AF).Methods and Results: Prospective cluster cohort study in experienced CBA and RFA centres. Primary endpoint was 'atrial arrhythmia recurrence', secondary endpoints were as follows: procedural results, safety, and clinical course. A total of 4189 patients were included: CBA 2329 (55.6%) and RFA 1860 (44.4%). Cryoballoon ablation population was younger, with fewer comorbidities. Procedure time was longer in the RFA group (P = 0.01). Radiation exposure was 2487 (CBA) and 1792 cGycm2 (RFA) (P < 0.001). Follow-up duration was 441 (CBA) and 511 days (RFA) (P < 0.0001). Primary endpoint occurred in 30.7% (CBA) and 39.4% patients (RFA) [adjusted hazard ratio (adjHR) 0.85, 95% confidence interval (CI) 0.70-1.04; P = 0.12). In paroxysmal AF, CBA resulted in a lower risk of recurrence (adjHR 0.80, 95% CI 0.64-0.99; P = 0.047). In persistent AF, the primary outcome was not different between groups. Major adverse cardiovascular and cerebrovascular event rates were 1.0% (CBA) and 2.8% (RFA) (adjHR 0.53, 95% CI 0.26-1.10; P = 0.088). Re-ablations (adjHR 0.46, 95% CI 0.34-0.61; P < 0.0001) and adverse events during follow-up (adjHR 0.64, 95% CI 0.48-0.88; P = 0.005) were less common after CBA. Higher rehospitalization rates with RFA were caused by re-ablations.Conclusions: The primary endpoint did not differ between CBA and RFA. Cryoballoon ablation was completed rapidly; the radiation exposure was greater. Rehospitalization due to re-ablations and adverse events during follow-up were observed significantly less frequently after CBA than after RFA. Subgroup analysis suggested a lower risk of recurrence after CBA in paroxysmal AF.Trial Registration: ClinicalTrials.gov (NCT01360008), https://clinicaltrials.gov/ct2/show/NCT01360008. [ABSTRACT FROM AUTHOR]

Published
2019
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40. German ablation registry: Cryoballoon vs radiofrequency ablation in paroxysmal atrial fibrillation—One-year outcome data

Author

Schmidt, Martin, primary, Dorwarth, Uwe, additional, Andresen, Dietrich, additional, Brachmann, Johannes, additional, Kuck, Karlheinz, additional, Kuniss, Malte, additional, Willems, Stephan, additional, Deneke, Thomas, additional, Tebbenjohanns, Jürgen, additional, Gerds-Li, Jin-Hong, additional, Spitzer, Stefan, additional, Senges, Jochen, additional, Hochadel, Matthias, additional, and Hoffmann, Ellen, additional

Published
2016
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42. Autorenverzeichnis

Author

Dorwarth, Uwe, von Eckardstein-Thumb, Eva, Gross-Ellinger, Hagen, Hein-Rothweiler, Ralph, Hug, Martin, Klauss, Volker, König, Andreas, Krötz, Florian, FESC, Leibig, Marcus, Lüftl, Stefan, Rieber, Johannes, Schmieder, Sebastian, Spes, Christoph, Straube, Florian, and Zwermann, Ludwig

Published
2022
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43. First-line catheter ablation of paroxysmal atrial fibrillation: outcome of radiofrequency vs. cryoballoon pulmonary vein isolation

Author

Straube, Florian, primary, Dorwarth, Uwe, additional, Ammar-Busch, Sonia, additional, Peter, Timo, additional, Noelker, Georg, additional, Massa, Thomas, additional, Kuniss, Malte, additional, Ewertsen, Niels Christian, additional, Chun, Kyoung Ryul Julian, additional, Tebbenjohanns, Juergen, additional, Tilz, Roland, additional, Kuck, Karl Heinz, additional, Ouarrak, Taoufik, additional, Senges, Jochen, additional, and Hoffmann, Ellen, additional

Published
2015
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45. Design and Baseline Patient Characteristics of the Prospective, Observational, Multicenter and Multinational Cohort Study Comparing Radiofrequency with Cryoablation for Pulmonary Vein Isolation in Patients with Atrial Fibrillation—The Freeze Cohort Study

Author

Hoffmann, Ellen, primary, Dorwarth, Uwe, additional, Kuck, Karl Heinz, additional, Vogt, Jürgen, additional, Kuniss, Malte, additional, Schneider, Steffen, additional, Tebbenjohanns, Jürgen, additional, Chun, Kyong Ryul Julian, additional, Andresen, Dietrich, additional, Spitzer, Stefan, additional, Lewalter, Thorsten, additional, Willems, Stephan, additional, Brachmann, Johannes, additional, Stellbrink, Christoph, additional, Rauch, Bernhard, additional, and Senges, Jochen, additional

Published
2014
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46. Cryoballoon versus RF Ablation in Paroxysmal Atrial Fibrillation: Results from the German Ablation Registry

Author

SCHMIDT, MARTIN, primary, DORWARTH, UWE, additional, ANDRESEN, DIETRICH, additional, BRACHMANN, JOHANNES, additional, KUCK, KARL‐HEINZ, additional, KUNISS, MALTE, additional, LEWALTER, THORSTEN, additional, SPITZER, STEFAN, additional, WILLEMS, STEPHAN, additional, SENGES, JOCHEN, additional, JÜNGER, CLAUS, additional, and HOFFMANN, ELLEN, additional

Published
2013
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48. Cryoballoon in AF ablation: Impact of PV ovality on AF recurrence

Author

Schmidt, Martin, primary, Dorwarth, Uwe, additional, Straube, Florian, additional, Daccarett, Marcos, additional, Rieber, Johannes, additional, Wankerl, Michael, additional, Krieg, Jürgen, additional, Leber, Alexander W., additional, Ebersberger, Ullrich, additional, Huber, Armin, additional, Rummeny, Ernst, additional, and Hoffmann, Ellen, additional

Published
2013
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49. Recommendations for participation in leisure-time physical activity and competitive sports in patients with arrhythmias and potentially arrhythmogenic conditions - Part 1 : Supraventricular arrhythmias and pacemakers

Author

Heidbüchel, Hein, Panhuyzen-Goedkoop, Nicole, Corrado, Domenico, Hoffmann, Ellen, Biffi, Allessandro, Delise, Pietro, Blomström-Lundqvist, Carina, Vanhees, Luc, Ivarhoff, Per, Dorwarth, Uwe, Pelliccia, Antonio, Heidbüchel, Hein, Panhuyzen-Goedkoop, Nicole, Corrado, Domenico, Hoffmann, Ellen, Biffi, Allessandro, Delise, Pietro, Blomström-Lundqvist, Carina, Vanhees, Luc, Ivarhoff, Per, Dorwarth, Uwe, and Pelliccia, Antonio

Abstract

This document by the Study Group on Sports Cardiology of the European Society of Cardiology extends on previous recommendations for sports participation for competitive athletes by also incorporating guidelines for those who want to perform recreational physical activity. For different supraventricular arrhythmias and arrhythmogenic conditions, a description of the relationship between the condition and physical activity is given, stressing how arrhythmias can be influenced by exertion or can be a reflection of the (patho)physiological cardiac adaptation to sports participation itself. The following topics are covered in this text: sinus bradycardia; atrioventricular nodal conduction disturbances; pacemakers; atrial premature beats; paroxysmal supraventricular tachycardia without pre-excitation; pre-excitation, asymptomatic or with associated arrhythmias (i.e. Wolff -Parkinson-White syndrome); atrial fibrillation; and atrial flutter. A related document discusses ventricular arrhythmias, channelopathies and implantable cardioverter defibrillators.

Published
2006
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