We investigated AF recurrence, repeat AF ablation, hospitalization and mortality within 30 days and a 1-year follow-up after the index procedure using data from the Polish National Health Fund (NHF).ĭata on patients admitted to Polish hospitals for an atrial fibrillation/atrial flutter (AF/AFl) ablation procedure were derived from NHF. We analyzed the follow-up of patients who were discharged after AF ablation procedure. The aim of the present study was to demonstrate the clinical evolution of AF ablation patients in Poland. Therefore, there is clear need to establish multicenter or national registries which should provide accurate and robust data about AF ablation recipients. Moreover, there is a paucity of data regarding the recurrent hospitalization and repeat ablation in a routine practice. On the other hand, observational studies are often limited to single center observations of small populations. However, it is well-known that clinical trial results do not represent well daily clinical practice, especially in the low volume, non-university centers. Most of the data about follow-up of patients undergoing AF ablation derive from clinical trials conducted in selected centers with considerable experience in catheter procedures. Despite the better patient selection and novel techniques, the effectiveness of this procedure is still unsatisfactory, resulting in a significant rate of AF recurrence and repeat ablation procedure. At the same time, the number of AF ablation procedures is increasing. It is estimated that prevalence of AF will rise at least 2.5-fold by the 2050. Key words: atrial fibrillation, ablation, pulmonary vein isolationĪtrial fibrillation (AF), the most frequent sustained arrhythmia, is a growing clinical problem. ![]() ![]() 0.7% p < 0.001).Ĭonclusions: Over 1 out of 4 patients who underwent AF/AFl ablation were hospitalized due to arrhythmia recurrence in 1 year. 6.7% p = 0.026), especially due to hypertension (2.9% vs. In a 1-year follow-up patients hospitalized from AF/AFl recurrence were more frequently hospitalized due to cardiovascular diseases other than AF/AFl (9.6% vs. All-cause mortality was 0.1% and 1.4% in 30-day and 1-year follow-up, respectively. Within 30 days 194 (9.6%) patients were hospitalized and 747 (36.9%) in 1-year follow-up. 59.1 ± 10.8 p = 0.019) and the time of the index hospitalization was shorter (3.75 ± 2.16 vs. The patients that underwent the second ablation were younger (56.6 ± 11.0 vs. During 1-year follow-up, 192 (9.5%) patients underwent subsequent AF/AFl ablations. After discharge, 123 (6.1%) and 540 (26.7%) patients were hospitalized because of AF/AFl within 30 days and 1 year, respectively. The mean time of the index ablation hospitalization was 3.8 ± 2.6 days. Results: The mean age was 58.6 ± 10.9 years (66.8% male). ![]() The secondary endpoints included: repeat AF/AFl ablation, cardiovascular hospitalization, all-cause hospitalization, all-cause mortality assessed in 30-day and 1-year time frame. The primary endpoint was readmission to hospital with discharge diagnosis AF/AFl. Methods: Using data from the National Health Fund we identified a database comprising 2,022 patients who underwent AF/AFl ablation between January, 2012 and December, 2012 in Poland. Banacha 1a, 02–097 Warszawa, Poland, tel: +48 22 599 19 58, fax: +48 22 599 19 57, e-mail: īackground: The aim of this study was to assess the frequency of all-cause rehospitalization and due to atrial fibrillation/flutter (AF/AFl), repeat ablation of AF/AFl, mortality within 30 days and 1-year follow-up in patients after AF/AFl ablation procedure. Grzegorz Opolski 1, Łukasz Januszkiewicz 1, Ewa Szczerba 1, Bogusława Osińska 2, Daniel Rutkowski 2, Zbigniew Kalarus 3, Jarosław Kaźmierczak 4ġDepartment of Cardiology, Medical University of Warsaw, Warsaw, PolandģDepartment of Cardiology, Congenital Heart Disease and Electrotherapy, Silesian Medical University, Silesian Centre for Heart Disease, Zabrze, PolandĤDepartment of Cardiology, Pomeranian Medical University, Szczecin, PolandĪddress for correspondence: Łukasz Januszkiewicz, MD, 1 st Chair and Department of Cardiology, Medical University of Warsaw, ul. Readmissions and repeat procedures after catheter ablation for atrial fibrillation
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |