Concomitant chronic kidney disease increases the recurrence of atrial fibrillation after catheter ablation of atrial fibrillation: A mid-term follow-up

Naruse, Yoshihisa; Tada, Hiroshi; Sekiguchi, Yukio; Machino, Takeshi; Ozawa, Mahito; Yamasaki, Hiro; Igarashi, Miyako; Kuroki, Kenji; Itoh, Yoko; Murakoshi, Nobuyuki; Yamaguchi, Iwao; Aonuma, Kazutaka

doi:10.1016/j.hrthm.2010.10.047

Cited by 62 publications

(73 citation statements)

References 26 publications

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“…Among them, 4 [2,[12][13][14] did not mention AF recurrence after a single catheter ablation for CKD and non-CKD patients, 1 [1] baseline data unavailable and 1 [15] did not have enough sample size of patients with and without CKD. Consequently, 4 [4,5,9,10] observational studies were finally included in our meta-analysis (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…One study [9] gave a value of HR by univariate analysis. Two studies [4,10] employed Cox proportional hazard models to draw a value of adjusted HRs. However, in one study [5] neither a value of HR nor adjusted HR is available.…”

Section: Discussionmentioning

confidence: 99%

“…Arrhythmia issues arise frequently in the renal disease population, spanning the spectrum from benign ectopy to sustained arrhythmias [3]. The presence of chronic kidney disease (CKD) increased the risk of atrial fibrillation (AF) recurrence after electrical cardioversion by catheter ablation [4,5]. Multifactorial physio-logic factors, due to CKD, may take part in higher prevalence of recurrent AF in patients with CKD than in those without it [4].…”

Section: Introductionmentioning

confidence: 99%

“…The presence of chronic kidney disease (CKD) increased the risk of atrial fibrillation (AF) recurrence after electrical cardioversion by catheter ablation [4,5]. Multifactorial physio-logic factors, due to CKD, may take part in higher prevalence of recurrent AF in patients with CKD than in those without it [4]. In this comprehensive meta-analysis and systematic review we sought to examine the current evidence and investigate whether the presence of CKD increases the risk of AF recurrence following single catheter ablation.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review and meta-analysis of chronic kidney disease as predictor of atrial fibrillation recurrence following catheter ablation

Liu

Luo

et al. 2014

Cardiol J

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Systematic review and meta-analysis of chronic kidney disease as predictor of atrial fibrillation recurrence following catheter ablation

Liu

Luo

et al. 2014

Cardiol J

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“…[43] выде-лили ХОБЛ как предиктор возникновения ФП после РЧА. Y. Naruse, H. Tada [44] показали влияние ХБП как еще одного фактора риска возникновения рецидивов ФП по-сле РЧА устьев легочных вен.…”

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Catheter radiofrequency ablation in atrial fibrillation and flutter management in patients with comorbidities

Kachanova¹,

Marfunina²,

Новикова³

et al. 2016

Kardiol. serdechno-sosud. khir.

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Multiple biomarkers and arrhythmia outcome following catheter ablation of atrial fibrillation: The Guangzhou Atrial Fibrillation Project

Deng

Shantsila

Guo

et al. 2018

Journal of Arrhythmia

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BackgroundBiomarkers have been related to the arrhythmia recurrence following catheter ablation (CA) of atrial fibrillation (AF). We hypothesized that concurrent measurement of several biomarkers would additively improve their predictive value.MethodsOne thousand four hundred and ten consecutive AF patients (68% male; 57.2 ± 11.6 years) undergoing CA were enrolled. Baseline characteristics, serum B type brain natriuretic peptide (BNP) and high sensitivity C reactive protein (hsCRP), estimated glomerular filtration rate (eGFR), ablation parameters, arrhythmia data at discharge, 1, 3, 6, and then every 6 months post CA were collected. Follow‐up ended when arrhythmia recurred or until 31st December 2016.ResultsThree hundred and sixty‐five (25.9%) patients had arrhythmia recurrence post‐CA during a mean follow‐up of 20.7 ± 8.8 months. BNP, hsCRP, and eGFR levels and their cut‐off values of 237.45 pg/mL, 1.6 mg/dL, and 82.5 mL/min/1.73 m2 were good predictors for AF recurrence (all P < 0.01). On multivariate analysis, increasing BNP and hsCRP, decreasing eGFR, gender, and early recurrence (ER) were independent predictors of AF recurrence (all P < 0.01). Compared to BNP alone, BNP plus eGFR or both eGFR and CRP showed incrementally better predictive values (ROC comparisons, all P < 0.01). Similar findings were evident in the subgroups of patients with paroxysmal or nonparoxysmal AF.ConclusionMeasurement of BNP, CRP, and eGFR were incrementally additive to clinical risk factors in a cumulative manner to improve prediction of arrhythmia recurrence post‐CA of AF. The implications of poor arrhythmia outcome in AF patients with multiple abnormal biomarkers pre‐CA procedure may help with patient selection and inform the likelihood of success or the need of more complicated CA procedure(s).

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Concomitant chronic kidney disease increases the recurrence of atrial fibrillation after catheter ablation of atrial fibrillation: A mid-term follow-up

Cited by 62 publications

References 26 publications

Systematic review and meta-analysis of chronic kidney disease as predictor of atrial fibrillation recurrence following catheter ablation

Systematic review and meta-analysis of chronic kidney disease as predictor of atrial fibrillation recurrence following catheter ablation

Catheter radiofrequency ablation in atrial fibrillation and flutter management in patients with comorbidities

Multiple biomarkers and arrhythmia outcome following catheter ablation of atrial fibrillation: The Guangzhou Atrial Fibrillation Project

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