Health-related quality of life changes in patients undergoing repeated catheter ablation for atrial fibrillation

Pezawas, Thomas; Ristl, Robin; Schukro, Christoph; Schmidinger, Herwig

doi:10.1007/s00392-015-0879-3

Cited by 10 publications

(2 citation statements)

References 36 publications

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“…The recall period was four weeks. The SF-12v2 was previously evaluated in the US National Health and Wellness Survey in atrial fibrillation patients 27 and the questionnaire was able to show an impact of atrial fibrillation-related interventions such as a pulmonary vein isolation 28 and a percutaneous closure of the left atrial appendage. 29 Symptom burden.…”

Section: Qolmentioning

confidence: 99%

Effect of reinforced, targeted in-person education using the Jessa Atrial fibrillation Knowledge Questionnaire in patients with atrial fibrillation: A randomized controlled trial

Desteghe

Engelhard

Vijgen

et al. 2018

European Journal of Cardiovascular Nursing

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Background: The knowledge level of atrial fibrillation (AF) patients about their arrhythmia, its consequences and treatment is poor. The best strategy to provide education is unknown. Aim: To investigate the effect of reinforced targeted in-person education using the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ). Methods: Sixty-seven AF patients were randomized to standard care (including brochures) or targeted education. Follow-up visits were scheduled after 1, 3, 6 and 12 months. Targeted education during each visit focused on the knowledge gaps revealed by the JAKQ. Patients completed two questionnaires to assess their quality of life (QOL) and symptom profile. Adherence to non-vitamin K antagonist oral anticoagulants was measured using electronic monitoring. Results: Sixty-two patients (31 education; 31 standard care) completed follow-up. Median baseline score on the JAKQ was similar in education (62.5%) and standard care group (56.3%; P=0.815). The intervention group scored significantly better over time (1 month: 75.0%, 12 months: 87.5%; P<0.001) whereas there was no significant improvement in the control group (1 month: 62.5%, 12 months: 62.5%; P=0.085). Providing targeted education after completion of the JAKQ required on average 6.9±4.6 min. Some improvements on QOL, symptom burden and adherence were shown, without significant differences between both groups (P-values between 0.282 and 0.677). Conclusion: The JAKQ is an effective tool for providing individualized education. A first targeted educational session significantly improved patients' knowledge level. Additional educational sessions maintained and strengthened this effect. A larger scale study is warranted to evaluate the impact on adherence and outcome measures.

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Section: Qolmentioning

confidence: 99%

Effect of reinforced, targeted in-person education using the Jessa Atrial fibrillation Knowledge Questionnaire in patients with atrial fibrillation: A randomized controlled trial

Desteghe

Engelhard

Vijgen

et al. 2018

European Journal of Cardiovascular Nursing

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“…Kany et al reported a similar percentage of patients with symptom improvement or no symptoms, but no detailed assessment of QoL was performed [25]. Similarly, Pezawas et al did find similar improvements in QoL, measured by the Short-Form Health Survey (SF-12) in patients receiving first or Redo-PVI [26].…”

Section: Quality Of Life After Pulmonary Vein Isolationmentioning

confidence: 99%

Patients’ attitude towards a sham-controlled trial on pulmonary vein isolation in atrial fibrillation

et al. 2021

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Background The interpretation of recent trials on pulmonary vein ablation (PVI) for the treatment of atrial fibrillation (AF) is hampered by the lack of blinding and sham controls. The feasibility of a sham-controlled trial has been questioned. We aimed to assess the attitude of potential participants regarding a sham-controlled trial in a common AF-patient population planned for PVI. Methods Patients in two tertiary care centres planned for PVI were asked for their current AF symptoms using the Atrial Fibrillation Effect on QualiTy of Life (AFEQT) questionnaire 1 day before catheter ablation. Subsequently, the study design of a hypothetical sham-controlled PVI-study was introduced, and patients were asked for their agreement in participation. Telephone follow-up of the AFEQT questionnaire was conducted 3 months after PVI. Results One hundred and ninety-six patients (mean age 64 ± 11 years, 63% male) were included. Seventy-nine (40%) patients expressed their agreement to participate in the hypothetical sham-controlled trial. An additional 7% agreed to participate if a cross-over option after three months was offered. Agreement rate was similar in patients with first and Redo-PVI and minimal, moderate or severe symptoms. Mean overall AFEQT at baseline was 55 ± 19 and improved by 25 ± 20 points after 3 months (p < 0.001 versus baseline). Conclusion With a participation rate of 40% in potential study participants, a sham-controlled trial for pulmonary vein isolation seems feasible. Patient-reported symptom relief after pulmonary vein isolation is in accordance with previous randomized open studies. The benefit of PVI should be rigorously evaluated in a sham-controlled trial. Graphic abstract

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QOL and PROMS in Catheter Ablation of Cardiac Arrhythmia

Withers

Morgan²,

Lencioni³

2022

Patient Reported Outcomes and Quality of Life in Cardiovascular Interventions

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Health-related quality of life changes in patients undergoing repeated catheter ablation for atrial fibrillation

Abstract: Improvement in QOL correlates with success of AF ablation after single and repeated PVI. Assessment of QOL pre- and post-PVI can complement ECG techniques for PVI success monitoring.

Cited by 10 publications

References 36 publications

Effect of reinforced, targeted in-person education using the Jessa Atrial fibrillation Knowledge Questionnaire in patients with atrial fibrillation: A randomized controlled trial

Effect of reinforced, targeted in-person education using the Jessa Atrial fibrillation Knowledge Questionnaire in patients with atrial fibrillation: A randomized controlled trial

Patients’ attitude towards a sham-controlled trial on pulmonary vein isolation in atrial fibrillation

QOL and PROMS in Catheter Ablation of Cardiac Arrhythmia

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