Evidence map›Paper›PMID 35700131›Full record

ArticleEuropean heart journal. Quality of care & clinical outcomes2023

Longitudinal risk of death, hospitalizations for atrial fibrillation, and cardiovascular events following catheter ablation of atrial fibrillation: a cohort study.

Linh Ngo, Richard Woodman, Russell Denman, Tomos E Walters, Ian A Yang, Isuru Ranasinghe

Open access · hybridAbstract read
In one paragraph

Article in European heart journal. Quality of care & clinical outcomes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Mendelian Randomization in Atrial Fibrillation.Arquivos brasileiros de cardiologia · 2024
    Article
  5. Review
  6. Novel Pulmonary Delivery of Drugs for the Management of Atrial Fibrillation.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Linh NgoGreater Brisbane Clinical School, Faculty of Medicine, The University of Queensland, Northside Clinical Unit, The Prince Charles Hospital, Chermside, 4032, QLD, Australia.ORCID 0000-0002-4058-0412
Richard WoodmanFlinders Centre for Epidemiology and Biostatistics, College of Medicine and Public Health, Flinders University, Bedford Park, 5042, SA, Australia.
Russell DenmanDepartment of Cardiology, The Prince Charles Hospital, Chermside, 4032, QLD, Australia.
Tomos E WaltersCardiology, St Vincent's Private Hospital Northside, Chermside, 4032, QLD, Australia.
Ian A YangGreater Brisbane Clinical School, Faculty of Medicine, The University of Queensland, Northside Clinical Unit, The Prince Charles Hospital, Chermside, 4032, QLD, Australia.
Isuru RanasingheGreater Brisbane Clinical School, Faculty of Medicine, The University of Queensland, Northside Clinical Unit, The Prince Charles Hospital, Chermside, 4032, QLD, Australia.
The University of Queensland · AUFlinders University · AUPrince Charles Hospital · AU

Funding

National Heart Foundation of Australia 101186
6 · The paper itself

Abstract

aimsPopulation studies reporting contemporary long-term outcomes following catheter ablation of atrial fibrillation (AF) are sparse.We evaluated long-term clinical outcomes following AF ablation and examined variation in outcomes by age, sex, and the presence of heart failure. METHODS AND

resultsWe identified 30 601 unique patients (mean age 62.7 ± 11.8 years, 30.0% female) undergoing AF ablation from 2008 to 2017 in Australia and New Zealand using nationwide hospitalization data. The primary outcomes were all-cause mortality and rehospitalizations for AF or flutter, repeat AF ablation, and cardioversion. Secondary outcomes were rehospitalizations for other cardiovascular events. During 124 858.7 person-years of follow-up, 1900 patients died (incidence rate 1.5/100 person-years) with a survival probability of 93.0% (95% confidence interval (CI) 92.6-93.4%) by 5 years and 84.0% (95% CI 82.4-85.5%) by 10 years. Rehospitalizations for AF or flutter (13.3/100 person-years), repeat ablation (5.9/100 person-years), and cardioversion (4.5/100 person-years) were common, with respective cumulative incidence of 49.4% (95% CI 48.4-50.4%), 28.1% (95% CI 27.2-29.0%), and 24.4% (95% CI 21.5-27.5%) at 10 years post-ablation. Rehospitalizations for stroke (0.7/100 person-years), heart failure (1.1/100 person-years), acute myocardial infarction (0.4/100 person-years), syncope (0.6/100 person-years), other arrhythmias (2.5/100 person-years), and new cardiac device implantation (2.0/100 person-years) occurred less frequently. Elderly patients and those with comorbid heart failure had worse survival but were less likely to undergo repeat ablation, while long-term outcomes were comparable between the sexes.

conclusionPatients undergoing AF ablations had good long-term survival, a low incidence of rehospitalizations for stroke or heart failure, and about half remained free of rehospitalizations for AF or flutter, including for repeat AF ablation, or cardioversion.

Indexed as

Atrial FibrillationAtrial FlutterCatheter AblationHeart FailureStrokeAgedCohort StudiesFemaleHospitalizationHumansMaleMiddle AgedAtrial fibrillationCatheter ablationLong-term outcomes

Identifiers

PMID35700131
PMCPMC9972809
OpenAlexW4282930995

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.