Symptom challenges after atrial fibrillation ablation

Wood, Kathryn A.; Barnes, Angel; Paul, Sudeshna; Hines, Kristina; Jackson, Kevin

doi:10.1016/j.hrtlng.2017.08.007

Cited by 20 publications

(27 citation statements)

References 34 publications

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“…Expert consensus acknowledges that these complications may occur in a month postablation (Calkins et al., ), but they are generally not understood by healthcare professionals to be as long lasting, severe and recovery stifling, as described by the participants here. Consistent with the findings, however, is a study showing prolonged and severe fatigue in patients following CA, and more extensive bruising than would have been expected (Wood, Barnes, Paul, Hines, & Jackson, ). However, possible chest pain, haematomas and arrhythmia are normally explained in patients’ written discharge information, nevertheless participants still described this as unexpected and frightening.…”

Section: Discussionsupporting

confidence: 81%

“…Consistent with the findings, however, is a study showing prolonged and severe fatigue in patients following CA, and more extensive bruising than would have been expected (Wood, Barnes, Paul, Hines, & Jackson, 2017). However, possible chest pain, haematomas and arrhythmia are normally explained in patients' written discharge information, nevertheless participants still described this as unexpected and frightening.…”

Section: Biophysical Dimensionsupporting

confidence: 71%

“…Wood et al. () also found that patients felt anxious after AF ablation, because they felt their recovery was “abnormal.” Fear, uncertainty and experiencing frightening symptoms have been reported (McCabe et al., ). This was corroborated in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…This is especially an area of improvement, as it is previously found that one-thirds of patients with AF experience persistent depression and many studies highlight emotional distress in patients with AF (Ekblad et al, 2013;McCabe, Schumacher, et al, 2011;Thrall et al, 2007). Wood et al (2017) also found that patients felt anxious after AF ablation, because they felt their recovery was "abnormal." Fear, uncertainty and experiencing frightening symptoms have been reported (McCabe et al, 2015).…”

Section: Emotional Dimensionmentioning

confidence: 97%

See 3 more Smart Citations

Patients’ experiences 1–6 months after atrial fibrillation ablation: An holistic perspective

Bergtun

Oterhals

Fridlund

2018

Journal of Advanced Nursing

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Section: Discussionsupporting

confidence: 81%

Section: Biophysical Dimensionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Emotional Dimensionmentioning

confidence: 97%

See 2 more Smart Citations

Patients’ experiences 1–6 months after atrial fibrillation ablation: An holistic perspective

Bergtun

Oterhals

Fridlund

2018

Journal of Advanced Nursing

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show abstract

“…8,44 Few studies have investigated patient perspectives of life after AF ablation, but one study found that patients described managing symptoms and self-care as more challenging than they had expected, especially in the first 3 months after ablation. 51 Recovery improved over the next 3 months (3-6 months after ablation), but only if the ablation was successful. Activity intolerance and fatigue were two of the main concerns after AF ablation that could be treated by slowly introducing exercise or lifestyle interventions.…”

Section: Discussionmentioning

confidence: 99%

Lifestyle interventions after ablation for atrial fibrillation: a systematic review

Larsen

Gottliebsen

Wood

et al. 2020

European Journal of Cardiovascular Nursing

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Background Risk factors of atrial fibrillation include diabetes, obesity and physical inactivity. Positive effects such as decreased atrial fibrillation burden have been reported for atrial fibrillation patients who have participated in lifestyle changing interventions after atrial fibrillation ablation treatment. Aim The aim of this study was to assess the evidence on the benefits and harms of lifestyle and risk factor management interventions in patients undergoing atrial fibrillation ablation. Method Our systematic review searched MEDLINE, EMBASE, CINAHL, Psychinfo, Web of Science and CENTRAL using key terms related to atrial fibrillation and lifestyle, including interventional trials. The primary outcomes were mortality and serious adverse events. Random effects meta-analyses of outcomes were conducted when appropriate. Results Two randomised controlled trials and two non-randomised interventional trials with a total of 498 patients were included. Six primary events were reported for the intervention groups and five events for the control groups (relative risk of 1.03, 95% confidence interval (CI) 0.3 to 3.1, I2 0%, P = 0.537). Effects in favour of the intervention groups were found for atrial fibrillation frequency (0.82 points, 95% CI –1.60 to –0.03, I2 87.3%, P = 0.005), atrial fibrillation duration (–0.76 points, 95% CI –1.64 to 0.12, I2 89.1%, P = 0.002) and body mass index (–5.40 kg/m2, 95% CI 6.22 to –2.57, I2 83.9%, P = 0.013). Risk of bias in the four studies was judged to be low to moderate. Conclusion Lifestyle changing interventions seem to have a positive effect on outcomes relevant to patients undergoing atrial fibrillation ablation, but the included studies were small, interventions were inhomogeneous, and the quality of evidence was low to moderate. More studies are warranted.

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Is the association between cognitive disease progression and atrial fibrillation modified by sex?

Wood

Han

et al. 2023

Alzheimer's & Dementia

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INTRODUCTIONIt is unclear if sex differences exist in cognitive disease progression in mild cognitive impairment (MCI) and dementia associated with atrial fibrillation (AF).METHODSUsing a variety of statistical methods, we examined sex differences between AF and neuropsychological tests and cognitive disease progression, using the National Alzheimer's Coordinating Center data (N = 43,630).RESULTSAF is associated with higher odds of dementia (odds ratio [OR] 3.00, 95% confidence interval [CI] [1.22, 7.37] in women and MCI in women (OR 3.43, 95% CI [1.55, 7.55]) versus men. Women with AF and normal baseline cognition had a higher risk of disease progression (hazard ratio [HR] 1.26, 95% CI [1.06, 1.50]) from normal to MCI and from MCI to vascular dementia (HR3.27, 95% CI [1.89, 5.65]) than men with AF or men and women without AF.DISCUSSIONAF was associated with more rapid progression to MCI and dementia in women, but more research is needed to confirm these findings.

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Symptom challenges after atrial fibrillation ablation

Cited by 20 publications

References 34 publications

Patients’ experiences 1–6 months after atrial fibrillation ablation: An holistic perspective

Patients’ experiences 1–6 months after atrial fibrillation ablation: An holistic perspective

Lifestyle interventions after ablation for atrial fibrillation: a systematic review

Is the association between cognitive disease progression and atrial fibrillation modified by sex?

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