Predictors of hospitalization for heart failure and of all-cause mortality after atrioventricular nodal ablation and right ventricular pacing for atrial fibrillation

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Fältnamn	Indikatorer	Metadata
000		04749naa a2200517 4500
001		oai:DiVA.org:oru-42367
003		SwePub
008		150203s2014 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:gup.ub.gu.se/200881
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-423672 URI
024	7	a https://doi.org/10.1093/europace/euu1712 DOI
024	7	a https://gup.ub.gu.se/publication/2008812 URI
040		a (SwePub)orud (SwePub)gu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Björkenheim, Anna,d 1980-u Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Cardiology, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)anbm
245	1 0	a Predictors of hospitalization for heart failure and of all-cause mortality after atrioventricular nodal ablation and right ventricular pacing for atrial fibrillation
264		c 2014-07-16
264	1	b Oxford University Press,c 2014
338		a print2 rdacarrier
500		a Funding Agency:Örebro Heart FoundationResearch Committee of Örebro University Hospital
520		a Aims: Atrioventricular junction ablation (AVJA) is a highly effective treatment in patients with therapy refractory atrial fibrillation (AF) but renders the patient pacemaker dependent. We aimed to analyse the long-term incidence of hospitalization for heart failure (HF) and all-cause mortality in patients who underwent AVJA because of AF and to determine predictors for HF and mortality.Methods and results: We retrospectively enrolled 162 consecutive patients, mean age 67 +/- 9 years, 48% women, who underwent AVJA because of symptomatic AF refractory to pharmacological treatment (n = 117) or unsuccessful repeated pulmonary vein isolation (n = 45). Hospitalization for HF occurred in 32 (20%) patients and 35 (22%) patients died, representing a cumulative incidence for hospitalization for HF and mortality over the first 2 years after AVJA of 9.1 and 5.2%, respectively. Hospitalization for HF occurred to the same extent in patients who failed pharmacological treatment as in patients with repeated pulmonary vein isolation (PVI), although the mortality was slightly higher in the former group. QRS prolongation >= 120 ms and left atrial diameter were independent predictors of hospitalization for HF, while hypertension and previous HF were independent predictors of death.Conclusion: The long-term hospitalization rate for HF and all-cause mortality was low, which implies that long-term ventricular pacing was not harmful in this patient population, including patients with unsuccessful repeated PVI.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653		a Atrial fibrillation
653		a Atrioventricular junction ablation
653		a Heart failure
653		a Hospitalization
653		a Mortality
653		a Cardiology
653		a Kardiologi
700	1	a Brandes, Axelu Department of Cardiology, Odense University Hospital, Odense, Denmark4 aut
700	1	a Andersson, Tommy,d 1970-u Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Cardiology, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)tyan
700	1	a Magnuson, Andersu Clinical Epidemiology and Biostatistics Unit, Örebro University Hospital, Örebro, Sweden4 aut
700	1	a Edvardsson, Nils,d 1942u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xedvni
700	1	a Wandt, Birger,d 1951-u Örebro universitet,Institutionen för hälsovetenskap och medicin4 aut0 (Swepub:gu)xwanbi
700	1	a Pedersen, Henriette Slothu Department of Cardiology, Odense University Hospital, Odense, Denmark4 aut
700	1	a Poci, Dritan,d 1969-u Örebro universitet,Institutionen för hälsovetenskap och medicin,Region Örebro län,Dept Cardiol, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:gu)xpocdr
710	2	a Örebro universitetb Institutionen för hälsovetenskap och medicin4 org
773	0	t Europaced : Oxford University Pressg 16:12, s. 1772-1778q 16:12<1772-1778x 1099-5129x 1532-2092
856	4	u https://academic.oup.com/europace/article-pdf/16/12/1772/17859113/euu171.pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-42367
856	4 8	u https://doi.org/10.1093/europace/euu171
856	4 8	u https://gup.ub.gu.se/publication/200881

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By the author/editor: Björkenheim, Ann ...; Brandes, Axel; Andersson, Tommy ...; Magnuson, Anders; Edvardsson, Nils ...; Wandt, Birger, 1 ...; show more...; Pedersen, Henrie ...; Poci, 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: Europace

By the university: Örebro University; University of Gothenburg

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