Effects of the Maze Operation on Health-Related Quality of Life in Patients With Atrial Fibrillation

Lönnerholm, Stefan; Blomström, Per; Nilsson, Leif; Oxelbark, S.; Jidéus, Lena; Blomström‐Lundqvist, Carina

doi:10.1161/01.cir.101.22.2607

Cited by 123 publications

(76 citation statements)

References 22 publications

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“…Several recent studies have reported the QOL of patients with AF, 14,18,19 but the present results may be difficult to compare with those studies, which used other therapies for drug-resistant AF, such as implantable cardioverter defibrillators, 19 because of the use of different QOL instruments and the lack of a comparison with the general population. One study reported the effect of the Maze operation on the QOL in patients with drug-refractory AF, 18 the majority of whom (80%) had lone AF and 63% had paroxysmal AF.…”

Section: Previous Studiesmentioning

confidence: 71%

“…One study reported the effect of the Maze operation on the QOL in patients with drug-refractory AF, 18 the majority of whom (80%) had lone AF and 63% had paroxysmal AF. In that study of Swedish patients, the QOL of the patients with AF was significantly lower than that of the general Swedish population, but it significantly improved at 6 months after the Maze operation, and the QOL measurements obtained at both 6 months and 1 year after operation reached the levels of the general population.…”

Section: Previous Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Segmental Pulmonary Vein Isolation for Paroxysmal Atrial Fibrillation Improves Quality of Life and Clinical Outcomes

Tada

Naito

Kurosaki

et al. 2003

Circ J

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Section: Previous Studiesmentioning

confidence: 71%

Section: Previous Studiesmentioning

confidence: 99%

Segmental Pulmonary Vein Isolation for Paroxysmal Atrial Fibrillation Improves Quality of Life and Clinical Outcomes

Tada

Naito

Kurosaki

et al. 2003

Circ J

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“…AF patients report greater QoL impairments relative to patients with congestive heart failure or myocardial infarction (MI) [5,9]. QoL impairments persist even in the absence of structural heart disease [7,10], and it has been found to be unrelated or only weakly correlated with indices of disease burden, frequency of episodes, illness duration, functional class, and ventricular function [7,11].…”

Section: Introductionmentioning

confidence: 99%

Gender differences and quality of life in atrial fibrillation: The mediating role of depression

Ong

Irvine

Nolan

et al. 2006

Journal of Psychosomatic Research

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Objective: This study investigated gender differences, depression, and health-related quality of life (QoL) in a crosssectional sample of patients with atrial fibrillation (AF). Methods: This cross-sectional study involved a convenience sample of AF patients from two tertiary-care clinics in Toronto, Canada. Ninety-three AF patients completed psychometrically validated measures of generic QoL and depression. Mediation analyses evaluated the relationship between gender and QoL using depression as mediating variable. Results: Relative to male patients, female patients reported lower physical, but not mental, QoL. Gender was associated with both depression and physical QoL, while depression was correlated with poorer physical QoL. Path analyses demonstrated that depression significantly mediated the relationship between gender and physical QoL. Conclusion: Among AF patients, female patients report lower physical QoL relative to male patients, and this relationship may be mediated by self-reported symptoms of depression. Albeit correlational, the findings underscore the need to develop a better understanding of the role of depression in physical QoL, especially when considering the burden of AF in women. D

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“…4) Factors related to the development of permanent AF have been reported. 2,[5][6][7] A number of recent studies 3,[8][9][10][11] have associated AF and its treatment with quality-of-life issues.…”

Section: Discussionmentioning

confidence: 99%

Symptoms of Atrial Fibrillation in Patients With and Without Subsequent Permanent Atrial Fibrillation Based on a Retrospective Questionnaire Survey

Kawara¹,

Narumi

Hirao

et al. 2010

Int. Heart J.

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SummaryThe aim of the present study was to determine whether symptoms of atrial fibrillation (AF) differ between patients with and without subsequent permanent AF. Sixty-four patients (68 ± 10 years old, 45 males) were recruited. AF followup was started at the age of 61 ± 10 years and accomplished in a median period of 4.9 years (396 person-years). Permanent AF, defined as lasting > 180 days, developed in 17 patients (14 males) (43 per 1000 person-years). The AF followup period was longer in the permanent AF group than in the non-permanent AF group (median, 9.8 versus 4.2 years, P < 0.001). For baseline characteristics, hypertension was less frequent in the permanent AF group than in the nonpermanent AF group (18% versus 45%, P < 0.05). A retrospective questionnaire survey regarding initial AF symptoms was conducted. The severity of AF symptoms by a 4-grade scale was significantly milder in the permanent AF group than in the nonpermanent AF group (P < 0.05). Cox proportional hazards model analysis revealed that the severity of initial AF symptoms was related to the subsequent development of permanent AF (hazard ratio 0.46 per grade, 95% confidence interval 0.23 -0.93, P < 0.05), but age, gender, hypertension, diabetes mellitus, organic heart disease, and left atrial dimension were not. The permanent AF-free rate was significantly lower in 33 patients with mild symptoms than in 31 patients with severe symptoms (log-rank test, P < 0.05). These results point to an inconspicuous feature in the development of permanent AF. (Int Heart J 2010; 51: 242-246) Key words: Arrhythmia, Heart failure, Hypertension, Susceptibility T he severity of symptoms is quite an important factor for determining the prognosis of patients with organic heart disease. The New York Heart Association classification of cardiac performance is clearly related to subsequent cardiac events. Syncope is a risk factor for sudden cardiac death in patients with a Brugada-type electrocardiogram. As a consequence, symptoms affect the treatment of such diseases. Atrial fibrillation (AF) causes variable symptoms, from mild which are subclinical, to severe requiring emergency care. Very slightly symptomatic AF is allowed and left; by contrast, severely symptomatic AF requires intensive therapies to restore or maintain sinus rhythm. AF usually occurs in a paroxysmal or persistent form, and then develops into a permanent form when the feasibility of restoring sinus rhythm becomes extremely low.1,2) We believe that patients' perceptions of their symptoms may be associated with the course of AF. To clarify whether the symptoms of AF differ between patients with and without subsequent development of permanent AF, a retrospective questionnaire survey was carried out. MethodsEthical issues: The study was conducted in accordance with Good Clinical Practice guidelines and the Declaration of Helsinki. The study protocol and written subject information were reviewed and approved by the ethics committee of Tokyo Medical and Dental University. Sixty-four patients (68 ±...

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Effects of the Maze Operation on Health-Related Quality of Life in Patients With Atrial Fibrillation

Cited by 123 publications

References 22 publications

Segmental Pulmonary Vein Isolation for Paroxysmal Atrial Fibrillation Improves Quality of Life and Clinical Outcomes

Segmental Pulmonary Vein Isolation for Paroxysmal Atrial Fibrillation Improves Quality of Life and Clinical Outcomes

Gender differences and quality of life in atrial fibrillation: The mediating role of depression

Symptoms of Atrial Fibrillation in Patients With and Without Subsequent Permanent Atrial Fibrillation Based on a Retrospective Questionnaire Survey

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