ArticleHeart rhythm O22026
Sex-specific impact of body mass index on recurrence of atrial fibrillation after catheter ablation.
Article in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sex-specific differences in the clinical outcome of pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF) remain controversial. The impact of body mass index (BMI) on sex-based variation in the outcome of PVI is not well understood. Objective: We sought to investigate the impact of BMI with associated atrial conduction indices (ACIs) on sex-specific differences in AF recurrence after PVI. Methods: All consecutive patients who underwent their first PVI for AF from 2014 to 2019 were included. ACIs were measured on the surface electrocardiogram and intracardiac electrogram. Data were collected and analyzed based on BMI and sex. Results: The study included 387 patients with AF (121 women and 266 men; mean age 66 years; 49.2% with a BMI of ≥30 kg/m Conclusion: Female sex was associated with a higher risk of AF recurrence after PVI and post-PVI AFL. Women with high BMI and prolonged left ACI had the highest rate of AF recurrence. This highlights the importance of weight management.
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