Assessment of Atrial Fibrillation–Specific Symptoms Before and 2 Years After Atrial Fibrillation Ablation: Do Patients and Physicians Differ in Their Perception of Symptom Relief?

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Björkenheim, Anna,1980-Örebro universitet,Institutionen för medicinska vetenskaper (author)

Assessment of Atrial Fibrillation–Specific Symptoms Before and 2 Years After Atrial Fibrillation Ablation : Do Patients and Physicians Differ in Their Perception of Symptom Relief?

Article/chapterEnglish2017

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Elsevier,2017
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LIBRIS-ID:oai:DiVA.org:oru-66207
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-66207URI
https://doi.org/10.1016/j.jacep.2017.04.003DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Objectives: The aim of this study was to evaluate patient-reported and physician-assessed atrial fibrillation (AF)–related symptoms after AF ablation.Background: Success of AF ablation is usually defined as freedom from AF, although symptom relief is often patients’ desire.Methods: Symptom relief was assessed as perceived by patients using the short, validated, AF-specific symptom questionnaire AF6 and as classified by physicians using the European Heart Rhythm Association (EHRA) classification at baseline and 6, 12, and 24 months after AF ablation. Recurrence of arrhythmia was documented by continuous electrocardiographic monitoring.Results: In total, 54 patients completed the 24-month follow-up. All 6 items on the AF6, AF6 sum score, and EHRA class improved significantly over time. The greatest improvement was seen during the first 6 months after ablation, but AF6 scores showed continued improvement up to 12 months, in contrast to EHRA class. There was a low correlation between AF6 score and EHRA class, but the predictive ability was low. Both AF6 scores and EHRA class were significantly correlated with AF burden at all times after ablation. A change of >9 points in AF6 sum score corresponded to a meaningful reduction in symptom severity.Conclusion: Patient-reported and physician-assessed outcomes were both useful in assessing symptom relief after AF ablation, although patient-reported outcomes were more sensitive tools. There was also a discrepancy between patient-reported and physician-assessed outcomes after ablation. Freedom from AF and a low AF burden most often resulted in a reduction of symptoms, but symptom relief also occurred despite little effect on the arrhythmia.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
atrial fibrillation
catheter ablation
symptoms
beta adrenergic receptor blocking agent
warfarin
ablation therapy
adult
aged
Article
cardiac patient
classification
controlled study
electrocardiography
european heart rhythm association classification
female
follow up
freedom
general condition improvement
human
major clinical study
male
multicenter study
patient-reported outcome
perception
physician
priority journal
recurrent disease

Added entries (persons, corporate bodies, meetings, titles ...)

Brandes, AxelOdense University Hospital, Odense, Denmark (author)
Magnuson, AndersClinical Epidemiology and Biostatistics (author)
Chemnitz, AlexanderOdense University Hospital, Odense, Denmark (author)
Svedberg, LenaDepartment of Cardiology, School of Medical Sciences, Örebro University, Örebro, Sweden (author)
Edvardsson, NilsSahlgrenska Academy, Sahlgrenska University Hospital, Göteborg, Sweden (author)
Poçi, Dritan,1969-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län(Swepub:oru)dnpi (author)
Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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In:JACC: Elsevier3:10, s. 1168-11762405-500X2405-5018

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By the author/editor: Björkenheim, Ann ...; Brandes, Axel; Magnuson, Anders; Chemnitz, Alexan ...; Svedberg, Lena; Edvardsson, Nils; show more...; Poçi, Dritan, 19 ...; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

Articles in the publication: JACC

By the university: Örebro University

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