Arrhythmias & electrophysiologyRandomised controlled trial
Cognitive Behavioral Therapy Improves Quality of Life in Patients With Symptomatic Paroxysmal Atrial Fibrillation
- Randomised controlled trial
Authors' conclusion
In patients with symptomatic paroxysmal AF, online CBT led to large improvements in AF-specific QoL and reduced health care use.
Study context
- Population
- Patients with symptomatic paroxysmal atrial fibrillation (AF)
- Participants
- 127 patients
- Comparison
- Online CBT vs standardised AF education
- AF-CBTn = 65
- AF educationn = 62reference
- Primary endpoint
- AF-specific quality of life (QoL) (Atrial Fibrillation Effect on Quality of Life summary score, range 0-100)
- Follow-up
- 3-month follow-up
Primary result
AFEQT summary score
Improvement
15.0 points
95% CI 10.1–19.8
P < 0.001
As reported in the abstract
Secondary outcomes
| Outcome | reduction (95% CI) | P value | |
|---|---|---|---|
| AF-specific health care consumption | 56% (22–90) | P = 0.025 | |
| −50050100Difference (linear scale) |
AF burden (5-day continuous ECG)
- AF burden remained unchanged
Self-assessed outcomes (AF-CBT group) · 12 months after treatment
- Results sustained 12 months after treatment
Original publication
Cognitive Behavioral Therapy Improves Quality of Life in Patients With Symptomatic Paroxysmal Atrial Fibrillation. J Am Coll Cardiol. Published 4 July 2023. doi:10.1016/j.jacc.2023.04.044
Summarised from the published abstract; every number is checked against it