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Impact of Coronary Artery Disease on The Outcomes of Catheter Ablation in Patients with Atrial Fibrillation.
Guo, Fuqian; Li, Caiying; Chen, Chen; Ni, Jiqiong; Yang, Lan; Chen, Yicheng; Fu, Rong; Jiao, Yang; Meng, Yuanyuan; Gao, Bulang.
Afiliação
  • Guo F; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Li C; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Chen C; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Ni J; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Yang L; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Chen Y; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Fu R; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Jiao Y; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Meng Y; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
  • Gao B; Hebei Medical University The Second Hospital Department of Medical Imaging Shijiazhuang Hebei People's Republic of China Department of Medical Imaging, The Second Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Braz J Cardiovasc Surg ; 38(3): 381-388, 2023 05 04.
Article em En | MEDLINE | ID: mdl-36592068
INTRODUCTION: The objective of this study is to investigate the possible impact of coronary artery disease (CAD) on clinical outcomes of catheter ablation in patients with atrial fibrillation (AF). METHODS: Patients with AF who underwent coronary computed tomography and catheter ablation were enrolled. The presence of stenotic severity and plaque, characteristics of coronary arteries, clinical data, and adverse outcomes of catheter ablation were analysed. RESULTS: A total of 243 patients were enrolled, 100 (41%) patients with CAD. The CHA2DS2-VASc (congestive heart failure, hypertension, age ≥ 75 years, diabetes mellitus, stroke or transient ischemic attack, vascular disease, age 65-74 years, and sex category) score of AF patients with CAD was significantly (P<0.001) higher than of those without CAD. Presence of stenotic artery and plaques increased significantly with increase of CHA2DS2-VASc score (P<0.05). There was no significant (P=0.342) difference in AF recurrence between patients with and without CAD (30% versus 24%). Age, AF type, duration of AF, heart failure, CHA2DS2-VASc score, left ventricular ejection fraction, and left atrial diameter were significantly (P<0.05) correlated with AF recurrence in univariant analysis. Multivariable analysis revealed that duration of AF (hazard ratio [HR] 1.769), heart failure (HR 1.821), and left atrial diameter (HR 1.487, P=0.022) remained significant independent predictors of AF recurrence. Patients with AF and concomitant CAD were significantly (P=0.030) associated with a worse outcome. CONCLUSION: CAD concomitant with AF may be associated with a worse clinical outcome even though CAD does not significantly affect the risk of AF recurrence after ablation therapy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Atrial / Doença da Artéria Coronariana / Ablação por Cateter / Acidente Vascular Cerebral / Insuficiência Cardíaca Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Atrial / Doença da Artéria Coronariana / Ablação por Cateter / Acidente Vascular Cerebral / Insuficiência Cardíaca Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans Idioma: En Revista: Braz J Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de publicação: Brasil