Arrhythmias & electrophysiologyCohort study

Association between body mass index and results of cryoballoon ablation in Korean patients with atrial fibrillation: an analysis from the Korean Heart Rhythm Society Cryoablation registry

EuropacePublished

  • Registry-based cohort study
  • multicentre

Authors' conclusion

Underweight patients showed a higher risk of AF recurrence after cryoablation compared with NW patients.

Study context

Population
Korean patients with atrial fibrillation (AF) undergoing cryoballoon PVI, Korean Heart Rhythm Society Cryoablation registry (12 tertiary hospitals)
Participants
2,648 patients
Exposure
Body mass index (BMI) groups vs NW
Outcome
AF recurrence and procedure-related complications after cryoablation
Follow-up
Median 1.7 years

Main finding

AF recurrence

Adjusted hazard ratio

2.55

95% CI 1.18–5.50

P = 0.02

UW vs NW
adjusted HR 2.55 (95% CI 1.18–5.50); P = 0.02

As reported in the abstract

Observational data: associations, not effects.

Safety

OutcomeOR (95% CI)P value
Procedure-related complications · mainly transient phrenic nerve palsy2.90 (0.94–8.99)P = 0.07

Procedure-related complications

Complications, all patients: 123 (4.7%)

Original publication

Association between body mass index and results of cryoballoon ablation in Korean patients with atrial fibrillation: an analysis from the Korean Heart Rhythm Society Cryoablation registry. Europace. Published 16 April 2024. doi:10.1093/europace/euae095

Summarised from the published abstract; every number is checked against it