Higher coronary artery calcium score is associated with increased risk of atrial fibrillation recurrence after catheter ablation

Fernandes, Sara Lopes; Ladeiras-Lopes, Ricardo; Silva, Mariana; Silva, Gualter; Cruz, Inês; Diaz, Sílvia O.; Barros, António S.; Saraiva, Francisca; Faria, Rita; Almeida, João; Fonseca, Paulo; Gonçalves, Helena; Oliveira, Marco; Ferreira, Nuno; Primo, João; Fontes‐Carvalho, Ricardo

doi:10.1016/j.jcct.2022.10.002

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…The high-risk group [29][30][31][32]: Had a red warning at the bedside of patients. (1) Vital signs were closely monitored to observe the changes of heart rate, heart rhythm, blood pressure, and prevent the recurrence of arrhythmias, atrioventricular block, reflex vagus nerve excitation, cardiac tamponade and other complications; (2) The prevention of abnormal bleeding included sandbag compression (4-6 h), surgical limb braking (6-8 h), and 24 h bed rest; (3) Prevention of infection included monitoring body temperature, regularly change dressing for the wound every 4 hours, and observation to detect whether the wound is red, swollen, hot and painful, to observe whether the puncture site is oozing blood, and whether there is ecchymosis or hematoma.…”

Section: Methodsmentioning

confidence: 99%

Application Effect of Multi-Dimension Nursing Combined with GRACE Scoring System in Patients with Atrial Fibrillation after Green Precision Catheter Radiofrequency Ablation

Duan,

Baojun Ren

2023

HSF

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Objective: To explore the application effect of multi-dimensional nursing combined with the Global Registry of Acute Events (GRACE) scoring system in the nursing of patients with atrial fibrillation after radiofrequency ablation with green precision catheter radiofrequency ablation. Methods: A total of 274 patients diagnosed with atrial fibrillation undergoing green precision catheter radiofrequency ablation were collected from the Department of Cardiology at our hospital in a retrospective study. After the inclusion, exclusion, diagnostic criteria and physical examination, all the subjects underwent green precision catheter radiofrequency ablation. According to various nursing methods that were adopted, they were divided into two groups with 7–14 days of nursing intervention by digital randomization: the study group (multi-dimensional nursing combined with GRACE scoring system evaluation, n = 136 cases) and the control group (postoperative routine nursing, n = 138 cases). The MOS item short from health survey (SF-36) score, Hamilton anxiety scale (HAMA) score, Hamilton depression scale (HAMD) score, complication rates and the nursing quality of the two groups were observed. Results: After multi-dimensional nursing combined with the GRACE in-hospital scoring system for stratified nursing in the study group, SF-36 scores in both groups increased after conventional nursing in the control group, but there was a statistical difference between the study group and the control group (p < 0.05). HAMA score and HAMD score decreased, and there were statistical differences between the study group and the control group (p < 0.05). The comparison between the study group and the control group showed that “Cardiac tamponade”, “Atrioventricular block”, “Peripheral vascular injury” and the total incidence of complications were statistically different (p < 0.05). The basic satisfaction, number of satisfaction and total satisfaction rate of the study group were higher than those of the control group, and the difference was statistically significant (p < 0.05). Conclusions: Multi-dimensional nursing combined with the GRACE scoring system in the nursing care of patients with atrial fibrillation after radiofrequency ablation with the green precision catheter, improves the quality of life, alleviates negative emotions, reduces the incidence of complications, and results in better quality of nursing care.

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Section: Methodsmentioning

confidence: 99%

Application Effect of Multi-Dimension Nursing Combined with GRACE Scoring System in Patients with Atrial Fibrillation after Green Precision Catheter Radiofrequency Ablation

Duan,

Baojun Ren

2023

HSF

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“…Several studies have demonstrated a significant association between CS and AF appearance. Elevated coronary artery CS has been described to correlate with a higher risk of AF appearance, particularly if above 100 UI Agatson [ 12 ]. Coronary CS is increasingly used as a risk predictor for acute cardiac events, but there are limited data available on its impact on AF recurrence following ablation.…”

Section: Introductionmentioning

confidence: 99%

Association of Atrial Fibrillation Recurrence with Right Coronary Atherosclerosis and Increased Left Arterial Epicardial Fat Following Catheter Ablation—Results of a Multimodality Study

Bordi,

Benedek,

Kovács

et al. 2023

Life

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Background: Identification of predictors for atrial fibrillation (AF) recurrence after pulmonary vein isolation (PVI) can lead to better long-term results. Our aim was to investigate the association between novel CT imaging markers reflecting the severity of coronary atherosclerosis and the risk of recurrence following PVI. Methods: This study included 80 patients with paroxysmal/persistent AF who underwent PVI. The patients were divided into two groups: Group 1–23 patients with recurrence and Group 2–57 patients without recurrence. Results: Patients with recurrence presented with a more enlarged left atrial diameter and reduced left ventricle EF, as assessed by echocardiography. Elevated calcium scores and right coronary artery (RCA) stenosis were correlated with a higher risk of AF recurrence (25.38 ± 4.1% vs. 9.76 ± 2.32%, p = 0.001). Patients with AF recurrence presented a higher left atrial volume index (LAVI) (61.38 ± 11.12 mm3/m2 vs. 46.34 ± 12.27 mm3/m2, p < 0.0001). The bi-atrial volume index (BAVI) was similarly higher in the AF recurrence group (98.23 ± 14.44 mm3/m2 vs. 76.48 ± 17.61 mm3/m2, p < 0.0001). Increased EAT volumes located around the LA (EAT-LA) were correlated with recurrence (25.55 ± 6.37 vs. 15.54 ± 8.44, p < 0.0001). Conclusions: RCA stenosis, together with atrial volumes and EAT-AS evaluated by CCTA, is associated with the risk of AF recurrence following PVI.

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Factors predicting the recurrence of atrial fibrillation after catheter ablation: A review

Mo,

Wang,

Zhang

et al. 2024

Heliyon

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Higher coronary artery calcium score is associated with increased risk of atrial fibrillation recurrence after catheter ablation

Cited by 4 publications

References 18 publications

Application Effect of Multi-Dimension Nursing Combined with GRACE Scoring System in Patients with Atrial Fibrillation after Green Precision Catheter Radiofrequency Ablation

Application Effect of Multi-Dimension Nursing Combined with GRACE Scoring System in Patients with Atrial Fibrillation after Green Precision Catheter Radiofrequency Ablation

Association of Atrial Fibrillation Recurrence with Right Coronary Atherosclerosis and Increased Left Arterial Epicardial Fat Following Catheter Ablation—Results of a Multimodality Study

Factors predicting the recurrence of atrial fibrillation after catheter ablation: A review

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