Arrhythmias & electrophysiology

Association Between Diagnosis-to-Ablation Time and Postablation Outcomes in Older Patients With Persistent Atrial Fibrillation

JACC AdvPublished Cohort study

Corrected 23 Oct 2026: Measure wording clarified; no values changed.

Authors' conclusion

In older patients with persistent AF, a DAT ≤12 months was associated with lower AA recurrence and lower risk of adverse cardiovascular outcomes

Study context

Population
Older patients with persistent atrial fibrillation (AF) undergoing catheter ablation, January 2020 to December 2022560 analysed
Participants
587 patients
Exposure
Early vs late catheter ablation
  • Early ablationn = 332
  • Late ablationn = 255reference
Outcome
Freedom from atrial arrhythmia (AA) recurrence
Follow-up
24 months

Main finding

Freedom from AA recurrence

Hazard ratio

0.68

95% CI 0.52–0.91, event not clearly stated

P = 0.005

Events by group

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Composite outcome (death, CV hospitalization, ischemic stroke) · 24 months1.70 (1.23–2.34)P = 0.001
CV hospitalization · 24 months1.57 (1.10–2.26)P = 0.011
Ischemic stroke1.87 (0.83–4.19)P = 0.126
Death2.20 (0.54–8.93)P = 0.267

Original publication

Association Between Diagnosis-to-Ablation Time and Postablation Outcomes in Older Patients With Persistent Atrial Fibrillation. JACC Adv. Published 22 October 2025. doi:10.1016/j.jacadv.2025.102248

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