Arrhythmias & electrophysiology

General anaesthesia compared to conscious sedation for first-time atrial fibrillation catheter ablation—a Danish nationwide cohort study

EuropacePublished Nationwide cohort study

Main finding · AF recurrenceResult — go to the resultHazard ratio 1.26 95% CI 1.15–1.38

Authors' conclusion

This nationwide cohort study suggests a higher risk of AF recurrence with CS during CA compared to GA.

Study context

Population
Adults (≥18 years) undergoing first-time catheter ablation for atrial fibrillation (AF) in Denmark, 2010–2018
Participants
7,957 adults
Exposure
Conscious sedation vs general anaesthesia during first-time AF catheter ablation
  • Conscious sedation (CS)n = 6,421
  • General anaesthesia (GA)n = 1,536reference
Outcome
AF recurrence (composite:
  • Antiarrhythmic drug prescriptions
  • AF-related hospital admissions
  • Electrical cardioversions
  • AF re-ablation)
Follow-up
5-year follow-up
Methodological detailsDanish healthcare registries, multivariable Cox proportional hazards analysis
  • Danish healthcare registries
  • Multivariable Cox proportional hazards analysis

Main finding

AF recurrence · 5 years

Hazard ratio

1.26

95% CI 1.15–1.38

By group

CSvs GA
HR 1.26 (95% CI 1.15–1.38)

As reported in the abstract

Observational data: associations, not effects.

Further findings

AF recurrence · 1 year · cumulative incidence

Original publication

General anaesthesia compared to conscious sedation for first-time atrial fibrillation catheter ablation—a Danish nationwide cohort study. Europace. Published 6 August 2024. doi:10.1093/europace/euae203

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