Utilization and Complications of Catheter Ablation for Atrial Fibrillation in Patients With Hypertrophic Cardiomyopathy.
Adolescent
Adult
Aged
Atrial Fibrillation
/ diagnosis
Cardiomyopathy, Hypertrophic
/ diagnostic imaging
Catheter Ablation
/ adverse effects
Comorbidity
Databases, Factual
Female
Humans
Incidence
Inpatients
Male
Middle Aged
Postoperative Complications
/ etiology
Practice Patterns, Physicians'
/ trends
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
United States
Young Adult
atrial fibrillation
catheter ablation
hypertrophic cardiomyopathy
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
07 07 2020
07 07 2020
Historique:
pubmed:
24
6
2020
medline:
10
3
2021
entrez:
24
6
2020
Statut:
ppublish
Résumé
Background Atrial fibrillation (AF) is common and bears a major clinical impact in patients with hypertrophic cardiomyopathy (HCM). We aimed to investigate the use and real-world safety of catheter ablation for AF in patients with HCM. Methods and Results We drew data from the US National Inpatient Sample to identify cases of AF ablation in HCM patients between 2003 and 2015. Sociodemographic and clinical data were collected, and incidence of catheter ablation complications, mortality, and length of stay were analyzed, including trends between the early (2003-2008) and later (2009-2015) study years. Among a weighted total of 1563 catheter ablation cases in patients with HCM, the median age was 62 (interquartile range, 52-72), 832 (53.2%) were male, and 1150 (73.6%) were white. The average annual volume of AF ablations in patients with HCM doubled between the early and the later study period (79-156). At least 1 complication occurred in 16.1% of cases, and the in-hospital mortality rate was 1%. Cardiac and pericardial complications declined from 8.8% to 2.3% and from 2.8% to 0.9%, respectively, between the early and the later study years (
Identifiants
pubmed: 32573325
doi: 10.1161/JAHA.119.015721
pmc: PMC7670519
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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