Abstract
Catheter ablation for atrial fibrillation in patients with reduced systolic function: a national perspective
European heart journal, Vol.41(Supplement_2)
11/01/2020
DOI: 10.1093/ehjci/ehaa946.0558
Abstract
Abstract
Background
Randomized trials have shown improvement in hard clinical end points when catheter ablation (CA) was employed as a management strategy for certain atrial fibrillation (AF) patients with heart failure and reduced ejection fraction (HFrEF). We sought to determine real world data on mortality and complications after utilization of CA in such patients.
Methods and results
Data were derived from National Inpatient Sample from January 2008 to August 2015. Patients were identified using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. Baseline characteristics and outcomes were compared among AF and HFrEF patients undergoing CA or not. Propensity matching was done to mitigate selection bias and balance confounding variables. Various CA related complications were assessed. Logistic regression was done to determine predictors of mortality in our study cohort. A total of 2,569,919 patients were enrolled and out of these approximately 7773 patients underwent CA. Mortality was significantly better in CA group in both unmatched (1.2% vs. 4.9%, p<0.01) and propensity matched cohorts (1.2% vs. 3.6%, p<0.01). Overall complication rate was 10.2% in CA cohort and were primarily cardiac and neurological in origin. In regression analysis, CA remains a strong predictor of reduced mortality (OR 0.301, 95% CI 0.184–0.494).
Conclusion
CA is associated with improved mortality in admitted AF patients with concomitant HFrEF. Overall complication rate after CA was modest at 10.2%.
Funding Acknowledgement
Type of funding source: None
Details
- Title: Subtitle
- Catheter ablation for atrial fibrillation in patients with reduced systolic function: a national perspective
- Creators
- M Munir - University of California, San DiegoM.Z Khan - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaP Agrawal - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaM.M Benjamin - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaM Syed - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaP Farjo - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaK Patel - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaY.A Ghaffar - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaM.U Khan - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaS Khan - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of AmericaS Balla - West Virginia Institute Heart and Vascular Institute, Morgantown, United States of America
- Resource Type
- Abstract
- Publication Details
- European heart journal, Vol.41(Supplement_2)
- DOI
- 10.1093/ehjci/ehaa946.0558
- ISSN
- 0195-668X
- eISSN
- 1522-9645
- Language
- English
- Date published
- 11/01/2020
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695665902771
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