Factors influencing kinesiophobia during the “blanking period” after radiofrequency catheter ablation in patients with atrial fibrillation by the fear-avoidance model

Ding, Yunmei; Pan, Yueshuai; Wang, Maojing; Cao, Lihua; Xu, Hongxuan; Wei, Lili; Zhang, Yan; Cui, Yan

doi:10.1016/j.ijcard.2022.06.021

Cited by 10 publications

(3 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Medical staff can instruct elderly and frail AF patients to perform certain physical exercises to improve muscle strength, but the type, amount, and duration of exercise should be fully considered. In addition, psychological factors such as kinesiophobia should also be considered to hinder physical activity [35] .…”

Section: The Nomogram Model Had Better Discrimination and Calibration...mentioning

confidence: 99%

Nomogram Model for Screening the Risk of Frailty in Elderly Atrial Fibrillation Patients: A cross-sectional study

Sun

Zhang

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Frailty is common in atrial fibrillation(AF)patients, but its related risk factors need to be further investigated. Furthermore, a risk prediction model based on risk factors urgently needed to be established to remind risk among AF patients. Purpose This study aimed to explore the multiple risk factors of frailty in elderly patients with atrial fibrillation(AF) and then construct and validate a nomogram risk prediction model to remind frailty events in this population. Methods A total of 337 hospitalized patients over 60(average age: 69, 53.1% male)with AF in Tianjin Medical University General Hospital from November 2021 to August 2022 were recruited. Patients were assessed for frailty with the FRAIL scale and then assigned into the groups, robust, pre-frail, and frail. The Least absolute shrinkage and selection operator (LASSO) and the Ordinal regression were utilized to screen independent risk factors. Subsequently, gather the factors in a nomogram to predict the risk among the AF population. The concordance index (C-index) and calibration curves were utilized to evaluate the performance of the nomogram model. Results The prevalence of frail and pre-frail were 23.1% and 52.2% among AF patients, respectively. A total of six predictors for frailty were screened out containing age, gender, history of coronary heart disease, number of chronic diseases, sleep disruption, and mental health status. The C-index of internal and external validation for the nomogram model were 0.821(95%CI: 0.778–0.864; bias corrected C-index: 0.795) and 0.837(95%CI: 0.780–0.893; bias corrected C-index: 0.774), respectively, indicating its favourable discriminative ability. Both internally and externally validated calibration charts were highly consistent with the ideal curve, illustrating that the model had a good predictive ability. Conclusion Frailty was common in the AF population, and the nomogram model has a great discriminative and predictive probability which can identify frailty risk incidents in elderly AF patients.

show abstract

Section: The Nomogram Model Had Better Discrimination and Calibration...mentioning

confidence: 99%

Nomogram Model for Screening the Risk of Frailty in Elderly Atrial Fibrillation Patients: A cross-sectional study

Sun

Zhang

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Kinesiophobia, also known as fear of movement, refers to an irrational fear of physical activities or functional exercise due to the fear of pain or reinjury [11], adversely impacting patients' rehabilitation quality and prognosis [12,13]. Research suggests that somatic symptoms (a combination of postoperative physical and psychological symptoms) are important predictive factors for kinesiophobia, such that individuals who experience severe somatic symptoms are more prone to kinesiophobia [14,15]. Symptoms such as pain [16,17], fatigue [19], anxiety [20], and depression [21] have been reported to be factors that in uence kinesiophobia.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Somatic Symptoms on kinesiophobia after Esophagectomy among Cancer Patients: The Mediating Roles of Intrusive Rumination and Avoidant Coping

Hu,

Zhang,

Fang

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose Cancer patients who undergo esophagectomy are prone to developing kinesiophobia, which adversely affects their disease prognosis and quality of life. Somatic symptoms are closely related to kinesiophobia, but the mechanisms underlying this relationship remain unclear. Therefore, the current study aimed to explore the chain-mediation roles of intrusive rumination and avoidant coping in the relationship between somatic symptoms and kinesiophobia in cancer patients who underwent esophagectomy. Methods A cross-sectional study was conducted in China from February 2023 to December 2023. A total of 279 postesophagectomy cancer patients were evaluated using the Symptom Check List 90 (SCL-90), Event Related Rumination Inventory (ERRI), Medical Coping Modes Questionnaire (MCMQ), and Tampa Scale of Kinesiophobia (TSK-11). Results Kinesiophobia was significantly positively correlated with somatic symptoms, intrusive rumination, and avoidant coping(P < 0.01). Somatic symptoms had a direct impact on kinesiophobia[B = 0.280, 95%CI(0.202, 0.359)]. Furthermore, somatic symptoms could also indirectly affect kinesiophobia through the separate mediating effects of intrusive rumination[B = 0.197, 95%CI(0.139 0.257)] and avoidant coping[B = 0.045, 95%CI(0.016, 0.085)], as well as through the chain-mediated effects of intrusive rumination-avoidant coping[B = 0.023, 95%CI(0.011, 0.041)]. Conclusions This study suggested that health care professionals can prevent the occurrence of kinesiophobia in postesophagectomy cancer patients by alleviating somatic symptoms, altering patients' intrusive rumination patterns, and guiding patients to actively cope with the disease.

show abstract

“…Previous studies have reported that approximately 30% of patients with early recurrence have no further arrhythmia recurrences beyond the unstable periods of the first couple of months post-ablation [ 1 – 3 ]. However, the early recurrence of AF can impair the quality-of-life of patients who received catheter ablation for AF [ 4 ]. Several studies have shown that short-term use of antiarrhythmic drugs (AADs) could reduce early arrhythmia recurrences, but the side effects of AADs are matters of concern [ 5 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of Saireito (TJ-114) in patients with atrial fibrillation undergoing catheter ablation procedures: A randomized pilot study

Kawaji,

Shizuta,

Yaku

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Early arrhythmia recurrences commonly occur after atrial fibrillation (AF) ablation because of irritability and inflammation of left atrium. We hypothesized that short-term use of Saireito would be effective in reducing frequent atrial tachyarrhythmias in the early-phase post-ablation. Methods One hundred patients undergoing catheter ablation for symptomatic AF were randomly assigned to either a 30-day use of Saireito or control group. The primary endpoint was total number of episodes of frequent atrial tachyarrhythmias including definite recurrent AF and frequent premature atrial contractions during the 30-day treatment period post-ablation. Results Three (6.0%) out of 50 patients treated with Saireito discontinued the drug because of adverse symptoms. The Saireito group was associated with a numerically lower number of episodes of frequent atrial tachyarrhythmias than the control group (3.1 versus 5.2 times, P = 0.17). The mean daily episodes of frequent atrial tachyarrhythmias were significantly fewer in the Saireito group during Day-6 to Day-10 (0.12/day versus 0.27/day, P = 0.03), and during Day-11 to Day-15 (0.08/day versus 0.24/day, P = 0.001). The prevalence of adverse symptoms during the 30-day treatment period was significantly higher in the Saireito group (18.0% versus 2.0%, P = 0.005). Conclusions Thirty-day use of Saireito following AF ablation was associated with a tendency toward reduced number of episodes of frequent atrial tachyarrhythmias during the treatment period, with more pronounced effect in the first two weeks.

show abstract

Factors influencing kinesiophobia during the “blanking period” after radiofrequency catheter ablation in patients with atrial fibrillation by the fear-avoidance model

Cited by 10 publications

References 39 publications

Nomogram Model for Screening the Risk of Frailty in Elderly Atrial Fibrillation Patients: A cross-sectional study

Nomogram Model for Screening the Risk of Frailty in Elderly Atrial Fibrillation Patients: A cross-sectional study

The Impact of Somatic Symptoms on kinesiophobia after Esophagectomy among Cancer Patients: The Mediating Roles of Intrusive Rumination and Avoidant Coping

Efficacy and safety of Saireito (TJ-114) in patients with atrial fibrillation undergoing catheter ablation procedures: A randomized pilot study

Contact Info

Product

Resources

About