Catheter ablation for atrial fibrillation in patients with reduced systolic function: a national perspective
| العنوان: | Catheter ablation for atrial fibrillation in patients with reduced systolic function: a national perspective |
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| المؤلفون: | Pratik Agrawal, Sudarshan Balla, Muhammmad Khan, Peter D. Farjo, Kinjan Patel, Yasir Abdul Ghaffar, Muhammad U. Khan, Moinuddin Syed, Muhammad Bilal Munir, Safi U. Khan, Mina M. Benjamin |
| المصدر: | European Heart Journal. 41 |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, medicine.medical_treatment, Cardiogenic shock, Percutaneous coronary intervention, Catheter ablation, Atrial fibrillation, Cardiac Ablation, medicine.disease, Ablation, Internal medicine, Cardiology, medicine, Myocardial infarction, Systole, Cardiology and Cardiovascular Medicine, business |
| الوصف: | 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 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 |
| تدمد: | 1522-9645 0195-668X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::0fdac09943b49a99a74e64aae2837994Test https://doi.org/10.1093/ehjci/ehaa946.0558Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........0fdac09943b49a99a74e64aae2837994 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15229645 0195668X |
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