Atrial fibrillation history impact on catheter ablation outcome. Findings from the ESC-EHRA atrial fibrillation ablation long-term registry

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F19%3A00077831" target="_blank" >RIV/00023001:_____/19:00077831 - isvavai.cz</a>

Výsledek na webu

<a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.13600" target="_blank" >https://onlinelibrary.wiley.com/doi/pdf/10.1111/pace.13600</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/pace.13600" target="_blank" >10.1111/pace.13600</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Atrial fibrillation history impact on catheter ablation outcome. Findings from the ESC-EHRA atrial fibrillation ablation long-term registry

Popis výsledku v původním jazyce

Background Atrial fibrillation (AF) promotes atrial remodeling that in turn promotes AF perpetuation. The aim of our study is to investigate the impact of AF history length on 1-year outcome of AF catheter ablation in a cohort of patients enrolled in the Atrial Fibrillation Ablation Registry. Methods We described the real-life clinical epidemiology, therapeutic strategies, and the short- and mid-term outcomes of 1948 patients (71.9% with paroxysmal AF) undergoing AF ablation procedures, stratified according to AF history duration (&lt;2 years or &gt;= 2 years). Results The mean AF history duration was 46.2 +/- 57.4 months, 592 patients had an AF history duration &lt;2 years (mean 10.2 +/- 5.9 months), and 1356 patients &gt;= 2 years (mean 75.5 +/- 63.5 months) (P &lt; 0.001). Patients with AF history duration &lt;2 years were younger; had a lower incidence of hypertension, coronary artery disease, and hypertrophic cardiomyopathy; and had a lower CHA(2)DS(2)-VaSc Score. At 1 year, the logrank test showed a lower incidence of AF recurrence in patients with AF history duration &lt;2 years (28.9%) than in patients with AF history duration &gt;= 2 years (34.0%) (P = 0.037). AF history duration &gt;= 2 years, overall ablation procedure duration, hypertension, and chronic kidney disease were all predictors of recurrences after the blanking period. Conclusions In this multicenter registry, performing catheter ablation in patients with an AF history &gt;= 2 years was associated with higher rates of AF recurrences at 1 year. Since cumulative time in AF in not necessarily equivalent to AF history, its role remains to be clarified.

Název v anglickém jazyce

Atrial fibrillation history impact on catheter ablation outcome. Findings from the ESC-EHRA atrial fibrillation ablation long-term registry

Popis výsledku anglicky

Background Atrial fibrillation (AF) promotes atrial remodeling that in turn promotes AF perpetuation. The aim of our study is to investigate the impact of AF history length on 1-year outcome of AF catheter ablation in a cohort of patients enrolled in the Atrial Fibrillation Ablation Registry. Methods We described the real-life clinical epidemiology, therapeutic strategies, and the short- and mid-term outcomes of 1948 patients (71.9% with paroxysmal AF) undergoing AF ablation procedures, stratified according to AF history duration (&lt;2 years or &gt;= 2 years). Results The mean AF history duration was 46.2 +/- 57.4 months, 592 patients had an AF history duration &lt;2 years (mean 10.2 +/- 5.9 months), and 1356 patients &gt;= 2 years (mean 75.5 +/- 63.5 months) (P &lt; 0.001). Patients with AF history duration &lt;2 years were younger; had a lower incidence of hypertension, coronary artery disease, and hypertrophic cardiomyopathy; and had a lower CHA(2)DS(2)-VaSc Score. At 1 year, the logrank test showed a lower incidence of AF recurrence in patients with AF history duration &lt;2 years (28.9%) than in patients with AF history duration &gt;= 2 years (34.0%) (P = 0.037). AF history duration &gt;= 2 years, overall ablation procedure duration, hypertension, and chronic kidney disease were all predictors of recurrences after the blanking period. Conclusions In this multicenter registry, performing catheter ablation in patients with an AF history &gt;= 2 years was associated with higher rates of AF recurrences at 1 year. Since cumulative time in AF in not necessarily equivalent to AF history, its role remains to be clarified.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Pacing and clinical electrophysiology

ISSN

0147-8389

e-ISSN

—

Svazek periodika

42

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

313-320

Kód UT WoS článku

000460951100005

EID výsledku v databázi Scopus

2-s2.0-85060514986