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Influence of risk f...
Influence of risk factors in the ESC-EHRA EORP atrial fibrillation ablation long-term registry
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- Trines, Serge A. (author)
- Leiden Univ, Med Ctr, Heart Lung Ctr, Leiden, Netherlands
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- Stabile, Giuseppe (author)
- Clin Montevergine, Mercogliano, AV, Italy;Clin San Michele, Maddaloni, CE, Italy
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- Arbelo, Elena (author)
- Univ Barcelona, Hosp Clin, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain;Inst Invest August Pi i Sunyer IDIBAPS, Barcelona, Spain;Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid, Spain
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- Dagres, Nikolaos (author)
- Univ Leipzig, Dept Electrophysiol, Heart Ctr Leipzig, Leipzig, Germany
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- Brugada, Josep (author)
- Univ Barcelona, Hosp Clin, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain;Inst Invest August Pi i Sunyer IDIBAPS, Barcelona, Spain;Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid, Spain
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- Kautzner, Josef (author)
- Inst Clin & Expt Med IKEM, Prague, Czech Republic
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- Pokushalov, Evgeny (author)
- Minist Hlth Russian Federat, E Meshalkin Natl Med Res Ctr, Novosibirsk, Russia
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- Maggioni, Aldo P. (author)
- ANMCOResearch Ctr, Florence, Italy;European Soc Cardiol, EURObservat Res Programme, Sophia Antipolis, France
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- Laroche, Cecile (author)
- European Soc Cardiol, EURObservat Res Programme, Sophia Antipolis, France
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- Anselmino, Matteo (author)
- Univ Turin, Dept Med Sci, Citta Della Salute & Della Sci Di Torino Hosp, Div Cardiol, Turin, Italy
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- Beinart, Roy (author)
- Sheba Med Ctr Ramat Gan, Leviev Heart Ctr, Davidai Arrhythmia Ctr, Tel Hashomer, Israel;Tel Aviv Univ, Sackler Sch Med, Tel Aviv, Israel
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- Traykov, Vassil (author)
- Acibadem City Clin Tokuda Hosp Sofia, Sofia, Bulgaria
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- Blomström-Lundqvist, Carina (author)
- Uppsala universitet,Kardiologi-arrytmi
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(creator_code:org_t)
- 2019-08-30
- 2019
- English.
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In: Pacing and Clinical Electrophysiology. - : Wiley. - 0147-8389 .- 1540-8159. ; 42:10, s. 1365-1373
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Background: The influence of risk factors on atrial fibrillation (AF) ablation recurrence is increasingly recognized. We present a sub-analysis of the European Society of Cardiology-European Heart Rhythm Association-European Society of Cardiology AF ablation long-term registry on the effect of traditional risk factors for AF on postablation recurrence, reablation, and complications using real-world data.Methods: Risk factors for AF were defined as body mass index >= 27 kg/m(2), hypertension, chronic obstructive pulmonary disease, diabetes, alcohol >= 2 units/day, sleep apnea, smoking, no/occasional sports activity, moderate/severe mitral or aortic valve disease, any cardiomyopathy, peripheral vascular disease, chronic kidney disease, heart failure, coronary artery disease/infarction, and previous pacemaker/defibrillator implant. Patients were divided in two groups with >= 1 or without risk factors. Primary outcomes were arrhythmia recurrence after blanking period, reablation, and adverse events or death. Differences between the groups and the influence of individual risk factors were analyzed using multivariate Cox regression.Results: Three thousand sixty nine patients were included; 217 patients were without risk factors. Risk factor patients were older (58.4 vs 54.1 years), more often female (32% vs 19.8%) and had more often persistent AF (27.2% vs 23.5%). In a multivariate analysis, patients without risk factors had a hazard ratio of 0.70 (95% CI 0.49-0.99) for recurrence compared to risk factor patients. The multivariate hazard ratios for reablation or adverse events/death were not different between the two groups. Hypertension and body mass index were univariate predictors of recurrence.Conclusions: Patients with >= 1 risk factor had a 30% higher risk for arrhythmia recurrence after ablation, but no differences in risk for repeat ablations and adverse events or death.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- atrial fibrillation
- catheter ablation
- complications
- recurrence
- repeat ablation
- risk factors
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Trines, Serge A.
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Stabile, Giusepp ...
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Arbelo, Elena
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Dagres, Nikolaos
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Brugada, Josep
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Kautzner, Josef
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Pokushalov, Evge ...
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Maggioni, Aldo P ...
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Laroche, Cecile
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Anselmino, Matte ...
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Beinart, Roy
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Traykov, Vassil
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Blomström-Lundqv ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Pacing and Clini ...
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Uppsala University