Arrhythmias & electrophysiology

Association between postprocedural echocardiographic and laboratory data and clinical outcomes in patients with preserved ejection fraction after catheter ablation for atrial fibrillation

Heart RhythmPublished Retrospective cohort study

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

OutcomeAF-HFA-PEFF scoreHFA-PEFF score
C statistics in derivation group
C statistic, CV events0.720.74
C statistic, AF recurrence0.710.69

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 →

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