ArticleCirculation reports2025
Regional Disparities in Atrial Fibrillation Catheter Ablation Based on the Japanese National Survey.
Article in Circulation reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Clinical Impact of Interlesion Distance on Acute Pulmonary Vein Isolation Success in Patients With Paroxysmal Atrial Fibrillation.Circulation reports · 2026Trial
- Pharmacy-Based Atrial Fibrillation Screening Model Coordinated by a Regional Stroke and Cardiovascular Disease Support Center: The Catch AF Project.Circulation reports · 2026Article
- Article
- Pulsed Field Ablation for Atrial Fibrillation in Japan: Current Status and Future Perspectives.Circulation reports · 2026Review
- Innovation in Atrial Fibrillation Treatment and the Paradox of Regional Disparity.Circulation reports · 2026Article
- Registry for Long-Term Outcomes After Catheter Ablation in Nagano Prefecture - The Shinshu Catheter Ablation (Shinshu-AB) Registry Rationale and Design.Circulation reports · 2026Article
- The role of periodontitis as a modifier of diabetes mellitus in older patients with atrial fibrillation.BMC endocrine disorders · 2025Observational
- Placement of the Coronary Sinus Catheter via the Right Cubital Vein During Atrial Fibrillation Ablation.Circulation reports · 2025Article
- Systemic Hurdles, Not Cardiologist Awareness: The Barriers to CPET Availability in Japan.Journal of arrhythmia · 2025Article
- Perspectives on Clinical Biomarkers Based on the Pathophysiology of Arrhythmias.Journal of arrhythmia · 2025Review
- Reply: Can safety and innovation coexist in the global expansion of laser balloon ablation?Heart rhythm O2 · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The prevalence of atrial fibrillation (AF) has increased with aging populations, making catheter ablation essential. However, access to this treatment across regions, even with universal healthcare, is not well understood. This study aims to explore potential regional disparities in AF catheter ablation rates and identify associated factors. Methods and Results: This cross-sectional study analyzed data from the Vital Statistics survey of Japanese events in 2022 (124,947,000 people), the Japanese government Survey of Household Economy, the Survey on the Impact of the Diagnosis Procedure Combination System, and publicly available data from the Japan Heart Rhythm Society. Principal component regression analysis revealed that the number of AF hospitalizations exhibited a positive correlation with the prevalence of hypertension and the percentage of unemployed men. The number of ablations positively correlated with overtime hours, university graduate salaries, part-time employment rates, and the number of arrhythmia specialists. AF hospitalization rates exhibited a negative correlation with AF ablation rates. The number of arrhythmia specialists correlated positively with ablation rates but negatively with AF hospitalization rates. Conclusions: Socioeconomic factors appear to influence AF hospitalizations and treatment decisions. An increase in arrhythmia specialists may optimize ablation rates and reduce AF hospitalization rates.
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