Sex differences in mapping and rhythm outcomes of a repeat atrial fibrillation ablation
| Autor: | Je Wook Park, Tae Hoon Kim, Boyoung Joung, Min Kim, Hee Tae Yu, Moon Hyoung Lee, Song Yi Yang, Jae Sun Uhm, Hui Nam Pak |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Paroxysmal atrial fibrillation medicine.medical_treatment Catheter ablation 030204 cardiovascular system & hematology 03 medical and health sciences Postoperative Complications Sex Factors 0302 clinical medicine Rhythm Heart Conduction System Heart Rate Recurrence Risk Factors Left atrial Physiology (medical) Internal medicine Atrial Fibrillation Republic of Korea Humans Medicine Registries 030212 general & internal medicine Trial registration business.industry Incidence Body Surface Potential Mapping Atrial fibrillation Middle Aged Ablation medicine.disease Treatment Outcome Pulmonary Veins Propensity score matching Catheter Ablation Electrocardiography Ambulatory Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Heart. 107:1862-1867 |
| ISSN: | 1468-201X 1355-6037 |
| Popis: | Funding Acknowledgements Type of funding sources: None. Introduction The risk of procedure-related complications and rhythm outcomes differ between men and women after atrial fibrillation catheter ablation (AFCA). We evaluated whether consistent sex differences existed in mapping and rhythm outcomes in repeat ablation procedures. Methods Among 3,282 patients in the registry, we analysed 443 consecutive patients (24.6% female, 58.5 ± 10.3 years old, 61.5% paroxysmal AF) who underwent a second AFCA. We compared the clinical factors, mapping, left atrial (LA) pressure, complications, and long-term clinical recurrences after propensity score matching. Results The LA volume index (43.1 ± 18.6 vs. 35.8 ± 11.6 ml/m2, p Conclusions During the repeat AFCA procedures, PV reconnections were lower in women than men, and the existence of extra-PV triggers and an LA pressure elevation was more significant, which resulted in poor rhythm outcomes. |
| Databáze: | OpenAIRE |
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