Letter by Jin-shan and Xue-bin Regarding Article, “Effect of Aggressive Blood Pressure Control on the Recurrence of Atrial Fibrillation After Catheter Ablation: A Randomized, Open-Label Clinical Trial (SMAC-AF [Substrate Modification With Aggressive Blood Pressure Control])”
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To the Editor:
We read with great interest the article by Parkash et al1 about the effect of aggressive blood pressure control on the recurrence of atrial fibrillation after catheter ablation, which shows that aggressive control of blood pressure for a median duration of 3.5 months before catheter ablation and after has no effect on subsequent arrhythmia outcome at the expense of treatment-related hypotension. Does aggressive blood control have a neutral effect on the recurrence of atrial fibrillation after catheter ablation? We have several disagreements. First, before aggressive blood pressure …