Pre-procedural predictors of atrial fibrillation recurrence after circumferential pulmonary vein ablation

Berruezo, Antonio; Tamborero, David; Mont, Lluı́s; Benito, Begoña; Tolosana, José Marı́a; Sitges, Marta; Vidal, Bárbara; Arriagada, Germán; Méndez, Francisco Javier; Matiello, María; Molina, Irma; Brugada, Josep

doi:10.1093/eurheartj/ehm027

Cited by 360 publications

(294 citation statements)

References 23 publications

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“…Females were noted to have higher association to AF recurrence compared with males which again reaffirms the sex‐related variation in outcomes after catheter ablation for AF. Contrary to Berruezo et al23 hypertension was not found to be a predictor of AF recurrence in our study. Additionally, we noted diabetes mellitus and chronic pulmonary disease to be associated with a high likelihood of AF recurrence.…”

Section: Discussioncontrasting

confidence: 99%

Causes and Predictors of Readmission in Patients With Atrial Fibrillation Undergoing Catheter Ablation: A National Population‐Based Cohort Study

Arora

Lahewala

Tripathi

et al. 2018

JAHA

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BackgroundReducing readmission after catheter ablation (CA) in atrial fibrillation (AF) is important.Methods and ResultsWe utilized National Readmission Data (NRD) 2010–2014. AF was identified by International Classification of Diseases, Ninth Edition, Clinical Modification (ICD‐9‐CM) diagnostic code 427.31 in the primary field, while first CA of AF was identified via ICD‐9‐procedure code 37.34. Any admission within 30 or 90 days of index admission was considered a readmission. Cox proportional hazard regression was used to adjust for confounders. The primary outcomes were 30‐ and 90‐day readmissions and the secondary outcome was AF recurrence. In total, 1 128 372 patients with AF were identified from January 1, 2010 to September 30, 2014. Of which 37 360 (3.3%) underwent CA. Patients aged ≥65 years and female sex were less likely to receive CA for AF. Overall, 10.9% and 16.5% of CA patients were readmitted within 30 and 90 days post‐CA, respectively. Most common causes of readmissions were arrhythmia (AF, atrial flutter), heart failure, pulmonary causes (pneumonia, chronic obstructive pulmonary disease) and bleeding complications (gastrointestinal bleed, intracranial hemorrhage). Patients with diabetes mellitus, heart failure, coronary artery disease (CAD), chronic pulmonary and kidney disease, prior stroke/transient ischemic attack (TIA), female sex, length of stay ≥2 and disposition to the facility were prone to higher 30‐ and 90‐day readmissions post‐CA. Predictors of increase in AF recurrence post‐CA were female sex, diabetes mellitus, chronic pulmonary disease, and length of stay ≥2. Trends of 90‐day readmission and AF recurrence were found to improve over the study period.ConclusionsWe identified several demographic and clinical factors associated with the use of CA in AF, and short‐term outcomes of the same, which could potentially help in the patient selection and improve outcomes.

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Section: Discussioncontrasting

confidence: 99%

Causes and Predictors of Readmission in Patients With Atrial Fibrillation Undergoing Catheter Ablation: A National Population‐Based Cohort Study

Arora

Lahewala

Tripathi

et al. 2018

JAHA

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“…268,328,329,330 Conversely, patients with pharmacologically controlled hypertension could have similar risk of AF recurrence postablation as those without hypertension. 279 Pooled analysis of two small studies demonstrated that renal artery denervation resulted in both sustained lowering of BP and reduction in AF recurrence postablation.…”

Section: Section 3: Modifiable Risk Factors For Af and Impact On Ablamentioning

confidence: 99%

“…328,329,365, 1050,1115,1116,1117 Factors that have been identified as predictors of a poorer outcome, at least in some studies, include (1) non-PAF and particularly long-term persistent AF; (2) sleep apnea and obesity; (3) increased LA size; (4) increased age; (5) hypertension; and (6) LA fibrosis as detected by cardiac MRI. 365 …”

Section: Outcomes Of Af Ablation In Populations Not Well Represented mentioning

confidence: 99%

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Calkins,

Kuck,

Cappato

et al. 2012

Heart Rhythm

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1,468

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“…The size of the left atrium is an important determinant of prognosis (20)(21)(22) and predicts the likelihood of AF recurrence after restoration to normal sinus rhythm (23). It is unclear if LAMAX is a more important predictor of prognosis and response to therapy than traditional measures of left atrial size.…”

Section: Other Clinical Implicationsmentioning

confidence: 99%

Cardiac cycle–dependent left atrial dynamics: Implications for catheter ablation of atrial fibrillation

et al. 2008

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Pre-procedural predictors of atrial fibrillation recurrence after circumferential pulmonary vein ablation

Abstract: Hypertension and LAD are independent pre-procedural predictors of AF recurrence after CPVA to treat AF. These data may help in patient selection for AF ablation.

Cited by 360 publications

References 23 publications

Causes and Predictors of Readmission in Patients With Atrial Fibrillation Undergoing Catheter Ablation: A National Population‐Based Cohort Study

Causes and Predictors of Readmission in Patients With Atrial Fibrillation Undergoing Catheter Ablation: A National Population‐Based Cohort Study

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Cardiac cycle–dependent left atrial dynamics: Implications for catheter ablation of atrial fibrillation

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