ArticleHeart rhythm O22025
H-type hypertension and U-shaped body mass index predict atrial fibrillation recurrence after catheter ablation: Insights from a 3-year follow-up.
Article in Heart rhythm O2, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Smoking and Risk of Atrial Fibrillation Recurrence After Catheter Ablation: A Meta-Analysis and Meta-Regression.Journal of arrhythmia · 2026Article
- Predictors of atrial fibrillation recurrence after catheter ablation: a systematic review.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026Review
- Pulsed Field Ablation for Atrial Fibrillation in Obesity: Reassessing Risk, Safety, and Success.Journal of clinical medicine · 2026Review
- Development and validation of a LightGBM-based model with risk stratification for predicting early recurrence after catheter ablation for atrial fibrillation.BMC cardiovascular disorders · 2026Article
- Development and validation of an interpretable machine learning model for predicting atrial fibrillation risk in middle-aged and older patients with coronary heart disease.Frontiers in cardiovascular medicine · 2026Article
- Efficacy of rhBNP in heart failure with atrial fibrillation combined with poor conventional therapy response and recurrence risk factors.American journal of translational research · 2026Article
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6 authors.
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Abstract
Background: H-type hypertension, body mass index (BMI), and metabolic biomarkers are potential biomarkers of long-term (≥3 years) recurrence of post-radiofrequency catheter ablation (RFCA) atrial fibrillation (AF). Objective: This study aimed to investigate the abovementioned modifiable risk factors in post-RCFA patients. Methods: Data of 827 patients who underwent first-time RFCA (2016-2021) for AF were retrospectively analyzed. Recurrence was defined as >30-second atrial tachyarrhythmia after a 3-month blanking period. Cox regression and restricted cubic spline models were used to assess the risk factors and nonlinear relationships. Results: Among the 827 participants, 248 (29.99%) experienced AF recurrence during the follow-up period. Compared with the nonrecurrence group, the recurrence group was older, with higher proportions of smoking, drinking, hypertension (mainly H-type), and diabetes; higher serum glucose and homocysteine levels; and lower serum total cholesterol and triglyceride levels at admission (all Conclusion: H-type hypertension independently predicts post-RFCA AF recurrence. The U-shaped BMI-AF recurrence relationship indicates that both high and low BMI elevate recurrence risk. Clinicians should monitor high-risk patients, optimize weight management, and treat hyperhomocysteinemia, especially in H-type hypertension.
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