Arrhythmias & electrophysiology
Association between postprocedural echocardiographic and laboratory data and clinical outcomes in patients with preserved ejection fraction after catheter ablation for atrial fibrillation
Authors' conclusion
The AF-HFA-PEFF score is simpler than the HFA-PEFF score and is equally associated with 3-year cardiovascular events and AF recurrence.
Study context
- Population
- Patients with preserved EF who underwent atrial fibrillation (AF) ablation
- Participants
- 354 patients
- Exposure
- AF-HFA-PEFF score vs original HFA-PEFF score
- Outcome
- CV events and AF recurrence
- Follow-up
- 3 years
Methodological detailsrisk score derivation and validation (random 50% split)
- Risk score derivation and validation (random 50% split)
Main finding
As reported in the abstract
3-year CV events (validation)
3-year CV events (validation)
AF recurrence
P < 0.001
- AF-HFA-PEFF score ≥4 vs AF-HFA-PEFF score <4: P < 0.001 — CV events
Observational data: associations, not effects.
Further findings
| Outcome | AF-HFA-PEFF score | HFA-PEFF score |
|---|---|---|
| C statistics in derivation group | ||
| C statistic, CV events | 0.72 | 0.74 |
| C statistic, AF recurrence | 0.71 | 0.69 |
Predictors of 3-year CV events or AF recurrence (univariate)
- Postprocedural E/e', tricuspid regurgitation peak gradient, LA volume index and BNP associated with outcomes
Original publication
Association between postprocedural echocardiographic and laboratory data and clinical outcomes in patients with preserved ejection fraction after catheter ablation for atrial fibrillation. Heart Rhythm. Published 27 September 2024. doi:10. 1016/ j. hrthm. 2024. 09. 027
Composed by AI from the published abstract and checked against it. How Briefs are made →