Long-term symptom improvement and patient satisfaction after AV-node ablation vs. pulmonary vein isolation for symptomatic atrial fibrillation: results from the German Ablation Registry

Background We aimed to compare patient characteristics and outcome of patients who had either undergone pulmonary vein isolation (PVI) or AV-node ablation (AVN) to control AF-related symptoms. Methods From the German Ablation Registry, we analyzed data of 4444 patients (95%) who had undergone PVI an...

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Bibliographic Details
Published in:Clinical research in cardiology 2019-04, Vol.108 (4), p.395-401
Main Authors: Wasmer, Kristina, Hochadel, M., Wieneke, H., Spitzer, S. G., Brachmann, J., Straube, F., Tebbenjohanns, J., Groschup, G., Heisel, A., Lewalter, T., Senges, J., Eckardt, L.
Format: Article
Language:English
Subjects:
Ablation
Aged
Atrial Fibrillation - mortality
Atrial Fibrillation - physiopathology
Atrial Fibrillation - surgery
Atrioventricular Node - physiopathology
Atrioventricular Node - surgery
Cardiology
Catheter Ablation - methods
Control methods
Coronary artery disease
Data processing
Diabetes mellitus
Female
Fibrillation
Follow-Up Studies
Germany - epidemiology
Heart
Heart diseases
Heart Rate - physiology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Patient Satisfaction
Patients
Prospective Studies
Pulmonary Veins - surgery
Recurrence
Registries
Renal insufficiency
Survival Rate - trends
Time Factors
Treatment Outcome
Ventricle
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Summary:Background We aimed to compare patient characteristics and outcome of patients who had either undergone pulmonary vein isolation (PVI) or AV-node ablation (AVN) to control AF-related symptoms. Methods From the German Ablation Registry, we analyzed data of 4444 patients (95%) who had undergone PVI and 234 patients (5%) with AVN. Results AVN patients were on average 10 years older than PVI patients (71 ± 10 vs. 61 ± 10 years, p   75 years. AVN patients had significantly more cardiovascular comorbidities (diabetes 21% vs. 8%, renal insufficiency 24% vs. 3%, underlying heart disease 80% vs. 36%, severely reduced left ventricular function 28% vs. 1%, all p  
ISSN:1861-0684
1861-0692
DOI:10.1007/s00392-018-1368-2