Autonomic Profile Changes After Pulsed‐Field Versus Thermal Ablation in Patients With Atrial Fibrillation: A Systematic Review and Meta‐Analysis

PFA attenuates autonomic perturbation relative to thermal ablation, preserving resting HR and HRV while maintaining comparable arrhythmia outcomes. These findings support PFA as an effective and autonomically sparing strategy for AF ablation.

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Publication Details

Journal
Pacing and Clinical Electrophysiology
Published
2026-01-19
DOI
https://doi.org/10.1111/pace.70126
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
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article

Autonomic Profile Changes After Pulsed‐Field Versus Thermal Ablation in Patients With Atrial Fibrillation: A Systematic Review and Meta‐Analysis

Riyaz Somani, Mokhtar N. Ibrahim, Eyad Jamileh, Mahmoud Eldesouky et al.
Pacing and Clinical Electrophysiology
Atrial Fibrillation Management and Outcomes
article

Autonomic Profile Changes After Pulsed‐Field Versus Thermal Ablation in Patients With Atrial Fibrillation: A Systematic Review and Meta‐Analysis

Riyaz Somani, Mokhtar N. Ibrahim, Eyad Jamileh, Mahmoud Eldesouky, Ahmed T. Elmewafy, Kaung Myat Thu, G. André Ng, Ahmed Abdelrazik, Ibrahim Antoun
article en

Abstract

PFA attenuates autonomic perturbation relative to thermal ablation, preserving resting HR and HRV while maintaining comparable arrhythmia outcomes. These findings support PFA as an effective and autonomically sparing strategy for AF ablation.

Pacing and Clinical ElectrophysiologyVol. 49(3)
Glenfield Hospital (GB), University Hospitals of Leicester NHS Trust (GB), National Institute for Health and Care Research (GB), NIHR Leicester Biomedical Research Centre (GB), East Lancashire Hospitals NHS Trust (GB), University of Sheffield (GB)
Openalex Percentile: Top 85%
Atrial Fibrillation Management and Outcomes
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