Following the Patient-From Referral to Catheter Ablation to Home: A Qualitative Study Describing and Explaining...

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is associated with substantial symptom burden and reduced quality of life. Catheter ablation is increasingly used; however, patients' experiences across the treatment trajectory remain underexplored.

To describe and explain patients' experiences from referral to catheter ablation for AF to 4 months after the procedure.

In this qualitative study, we used semistructured interviews with patients undergoing catheter ablation for AF. Interviews addressed experiences of referral, treatment, recovery, and follow-up. Data were analyzed using qualitative content analysis.

Our analysis revealed 6 categories describing patients' experiences throughout the ablation trajectory: (1) Relational care is a pivotal cornerstone; (2) Communication creates a sense of security when individualized; (3) Recovery is a balance between caution and the desire for normality; (4) Ablation gives rise to concerns; (5) A well-planned and structured postablation pathway is needed; and (6) Waiting time creates unnecessary gaps. Two explanatory themes were revealed: "Navigating the emotional terrain of ablation through professional support and communication is needed, highlighting the need for organizational structures and professional support throughout the ablation pathway"; and "Living with uncertainty-Patient perspectives on recovery, expectations, and emotional responses, reflecting ongoing concerns before and after ablation".

The findings underscore the importance of consistent involvement of healthcare professionals throughout the AF ablation trajectory. Coordinated, person-centered information, and a structured postablation follow-up pathway may address patient concerns, reduce uncertainty, and support recovery. Strengthening coordination and continuity of care appears essential to improving patient experiences.