Arrhythmias & electrophysiology

Effects of Glucagon-Like Peptide-1 Receptor Agonists on Atrial Fibrillation Recurrence After Catheter Ablation

JACC Clin ElectrophysiolPublished Retrospective cohort study

Main finding · Composite of cardioversion, new AAD therapy or repeat AF ablation after 3-month blanking periodResult — go to the resultHazard ratio 1.04 95% CI 0.92–1.19

Authors' conclusion

These findings suggest that preprocedural use of GLP-1 RAs is not associated with a reduced risk of AF recurrence or associated adverse outcomes following ablation

Study context

Population
Patients aged ≥18 years undergoing atrial fibrillation (AF) ablation, TriNetX database, 2014–2023matched cohort
Participants
1,625 vs 1,625
Exposure
Preablation GLP-1 RA use vs nonuse
  • GLP-1 RA usersn = 1,625
  • Nonusersn = 1,625reference
Outcome
Composite of:
  • Cardioversion
  • New antiarrhythmic drug therapy
  • Repeat AF ablation after a 3-month blanking period
Methodological detailspropensity-score matched (1:1)
  • Propensity-score matched (1:1)

Main finding

As reported in the abstract

Composite of:
  • Cardioversion
  • New AAD therapy
  • Repeat AF ablation after 3-month blanking period

Hazard ratio

1.04

95% CI 0.92–1.19

log-rank P = 0.51

Preablation GLP-1 RA usevs nonuse
HR 1.04 (95% CI 0.92–1.19); log-rank P = 0.51

Observational data: associations, not effects.

Further findings

Ischemic stroke, all-cause hospitalization, mortality · 12 months

Did not differ between the 2 groups

Original publication

Effects of Glucagon-Like Peptide-1 Receptor Agonists on Atrial Fibrillation Recurrence After Catheter Ablation. JACC Clin Electrophysiol. Published 22 May 2024. doi:10.1016/j.jacep.2024.03.031

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