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Occurrence of symptoms after catheter ablation of atrial fibrillation

H Bou Ezzeddine, A Vachulova, M Svetlosak

    Bratislavske Lekarske Listy
    |September 10, 2015
    PubMed

    Insights

    Catheter ablation for atrial fibrillation (AF) increases asymptomatic AF episodes. One ablation procedure is more effective than repeat procedures for reducing AF symptoms and burden.

    Area of Science:

    • Cardiology
    • Electrophysiology

    Background:

    • Atrial fibrillation (AF) management often involves catheter ablation (CA AF).
    • Assessing CA AF efficacy requires evaluating both AF burden and patient-reported symptoms.

    Purpose of the Study:

    • To evaluate the effectiveness of catheter ablation for atrial fibrillation (CA AF).
    • To analyze CA AF efficiency based on atrial fibrillation (AF) burden and AF-related symptoms.

    Main Methods:

    • Retrospective analysis of 133 patients undergoing CA AF with long-term ECG loop recorders.
    • Investigation of AF burden and objective symptoms via ECG loop recorder data.
    • Identification of subjective AF symptoms during outpatient follow-up.

    Main Results:

    • A clinically significant increase in asymptomatic AF episodes post-CA AF was observed.
    • Single CA AF procedures demonstrated superior efficacy in reducing AF symptoms and burden compared to repeat procedures (re CA AF).

    Conclusions:

    • The rise in asymptomatic AF episodes has implications for evaluating ablation success and guiding patient management.
    • Individualized patient management, particularly regarding antithrombotic therapy, should consider the increase in asymptomatic AF post-ablation.
    Abstract

    Keywords:
    atrial fibrillationatrial fibrillation burdencatheter ablation of atrial fibrillationcontinuous ECG monitoring.symptoms of atrial fibrillation

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