Evidence map›Paper›PMID 42010218›Full record

ArticleObesity surgery2026

Pre-ablation Weight Loss Via Metabolic Bariatric Surgery is Associated with Lower In-hospital Complications in Patients with Atrial Fibrillation/flutter.

Panat Yanpiset, Chanokporn Puchongmart, Ben Thiravetyan, Phuuwadith Wattanachayakul, Thitiphan Srikulmontri, Thanathip Suenghataiphorn, Sakditad Saowapa, Nattayaporn Apaijai

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Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Panat YanpisetDepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA. pyanpiset@gmail.com.
Chanokporn PuchongmartDepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Ben ThiravetyanDepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Phuuwadith WattanachayakulDepartmen ot Medicine, Jefferson Einstein Hospital, Philadelphia, PA, USA.
Thitiphan SrikulmontriDepartmen ot Medicine, Jefferson Einstein Hospital, Philadelphia, PA, USA.
Thanathip SuenghataiphornDepartment of Internal Medicine, Griffin Hospital, Derby, CT, USA.
Sakditad SaowapaDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Nattayaporn ApaijaiCardiac Electrophysiology Unit, Department of Physiology, Chiang Mai University, Chiang Mai, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is associated with increased risk of in-hospital complications in patients with atrial fibrillation and atrial flutter (AF/AFL). The effects of weight-loss intervention through metabolic bariatric surgery (MBS) remain controversial, as it has been reported to increase in-hospital mortality in AF/AFL patients but also shown to reduce AF recurrence after ablation. We aimed to determine the impact of MBS on short-term outcomes in AF/AFL patients undergoing ablation.

methodsThis study was conducted using data from the National Inpatient Sample (2016-2022). Patients with a primary diagnosis of AF/AFL who underwent catheter ablation were included. Eligible patients were categorized into four groups: (1) Class I obesity, (2) Class II obesity, (3) Class III obesity, and (4) Pre-ablation weight loss via MBS. Demographics and in-hospital outcomes were analyzed.

resultsIn this study, most patients in the obesity groups were males, whereas females predominated in the pre-ablation weight loss group, which also had the lowest comorbidities. The weight loss group had significantly shorter hospital length of stay (LOS) than the other groups and lower incidence of acute kidney injury (vs. Class II-III obesity), acute respiratory syndrome, and infection (vs. Class III obesity). The incidence of cardiac, pericardial complications, and hemorrhage/hematoma did not differ among groups.

conclusionPre-ablation weight loss through MBS was associated with short-term benefits in AF/AFL patients after catheter ablation, including reduced in-hospital LOS and complications, particularly among those with Class III obesity, and may help prevent long-term adverse outcomes.

Indexed as

Atrial FibrillationAtrial FlutterBariatric SurgeryCatheter AblationPostoperative ComplicationsWeight LossAdultFemaleHumansLength of StayMaleMiddle AgedObesityRetrospective StudiesTreatment OutcomeAtrial fibrillationAtrial flutterin-hospital complicationsMetabolic bariatric surgeryWeight loss

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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.