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Impact of Preoperative Nutritional Status on the Outcome of Catheter Ablation for Atrial Fibrillation
- Source :
- Circulation Journal. 86:268-276
- Publication Year :
- 2022
- Publisher :
- Japanese Circulation Society, 2022.
-
Abstract
- Background The relationship between nutritional status and the incidence or prognosis of atrial fibrillation (AF) has been reported, but no studies have described the relationship between the outcomes of AF catheter ablation (CA) and nutritional status as assessed by various scoring tools. We aimed to verify the hypothesis that preoperative nutritional status is associated with arrhythmia recurrence after CA for AF.Methods and Results:We evaluated 913 patients (age, 67±10 years; men, 72%; paroxysmal AF, 56%) who underwent CA for AF between November 2011 and November 2017. Patients were systematically followed with an endpoint of atrial tachyarrhythmia recurrence, the predictive value of which was compared among 3 scoring tools (Controlling Nutritional Status [CONUT] score / Geriatric Nutritional Risk Index [GNRI] / Prognostic Nutritional Index [PNI]). Patients were divided into normal nutrition (CONUT 98 [n=836] / PNI >38 [n=910]) and undernutrition (CONUT ≥2 [n=276] / GNRI ≤98 [n=77] / PNI ≤3 [n=3]) groups. AF recurred in 274 patients (mean follow-up, 2.3±0.8 years). The AF recurrence rate was higher in patients with undernutrition than in those with normal nutrition (CONUT/GNRI) status. Multivariate Cox regression analysis identified undernutrition status (GNRI ≤98) as an independent predictor of atrial tachyarrhythmia recurrence. Conclusions The AF recurrence rate after CA was higher in patients with undernutrition than in those with normal nutrition as stratified by the nutrition scoring tools.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Nutritional Status
Catheter ablation
Recurrence
Risk Factors
Internal medicine
Atrial Fibrillation
medicine
Humans
In patient
Aged
Retrospective Studies
Paroxysmal AF
Proportional hazards model
business.industry
Incidence (epidemiology)
Malnutrition
Atrial fibrillation
Nutritional status
General Medicine
Middle Aged
Prognosis
medicine.disease
Treatment Outcome
Catheter Ablation
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 13474820 and 13469843
- Volume :
- 86
- Database :
- OpenAIRE
- Journal :
- Circulation Journal
- Accession number :
- edsair.doi.dedup.....a2021c7e10c62c39587bb2d06a4ba584