Incidence and Predictors of Acute Urinary Retention After Atrial Fibrillation Pulsed Field Ablation: A Word of Caution on Routine Atropine Administration

Marco Bergonti^#¹, Daniele Faccenda^#^{1

2}, Francesco Cardinali³, Tardu Özkartal^{1

4}, Paolo Compagnucci³, Maria Luce Caputo^{1

4}, Antonio Dello Russo^{3

5}, Esther Scheirlynck^{1

6}, Michela Casella^{3

5}, Giulio Conte^{1

4}

Affiliations

¹ Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland (M.B., D.F., T.O., M.L.C., E.S., G.C.).
² Department of Advanced Biomedical Sciences, Federico II University of Naples, Italy (D.F.).
³ Cardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy (F.C., P.C., A.D.R., M.C.).
⁴ Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland (T.O., M.L.C., G.C.).
⁵ Department of Clinical, Special and Dental Sciences, Marche Polytechnic University, Ancona, Italy (A.D.R., M.C.).
⁶ Department of Cardiology, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, Belgium (E.S.).

^# Contributed equally.

Marco Bergonti et al. Circ Arrhythm Electrophysiol. 2025 Nov.

. 2025 Nov;18(11):e014314.

doi: 10.1161/CIRCEP.125.014314. Epub 2025 Oct 29.

¹ Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland (M.B., D.F., T.O., M.L.C., E.S., G.C.).
² Department of Advanced Biomedical Sciences, Federico II University of Naples, Italy (D.F.).
³ Cardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy (F.C., P.C., A.D.R., M.C.).
⁴ Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland (T.O., M.L.C., G.C.).
⁵ Department of Clinical, Special and Dental Sciences, Marche Polytechnic University, Ancona, Italy (A.D.R., M.C.).
⁶ Department of Cardiology, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, Belgium (E.S.).

^# Contributed equally.

No abstract available

Keywords: atrial fibrillation; atropine; bradycardia; cholinergic antagonists; pulsed field ablation; urinary catheters.

Conflict of interest statement

None.