Abstract

Atrial fibrillation (AF) ablation can inadvertently affect ganglionated plexuses (GPs) in the left atrium near pulmonary veins (PVs). This can have complex effects on heart rate and ventricular repolarization through modulation of the parasympathetic and sympathetic effects on the heart. Corrected QT (QTc) interval prolongation and heart rate (HR) increase are seen after AF ablation, independent of drug effects and anesthesia. It is unclear what these changes have on ablation outcomes.

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