Arrhythmias & electrophysiology

Impact of Colchicine Monotherapy on the Risk of Acute Pericarditis Following Atrial Fibrillation Ablation

JACC Clin ElectrophysiolPublished Cohort study

Authors' conclusion

Colchicine therapy starting 7 days before to 1 month after the ablation procedure was associated with significantly lower risk of acute pericarditis and related hospitalization.

Study context

Population
Consecutive atrial fibrillation (AF) patients undergoing first catheter ablation
Participants
1,075 patients
Exposure
Colchicine vs no colchicine
  • Group 1n = 607reference
  • Group 2n = 213
  • Group 3n = 255
Outcome
Acute pericarditis
Methodological detailsconsecutive patients, 1-year follow-up
  • Consecutive patients
  • 1-year follow-up

Main finding

As reported in the abstract

Acute pericarditis symptoms

P < 0.001

Overall acute pericarditis
129 patients (12%)

Observational data: associations, not effects.

Further findings

Mild-moderate and severe pericarditis

Significantly lower in Group 2

Arrhythmia-free survival, paroxysmal AF (subgroup) · 1 year

Significantly higher with colchicine vs no colchicine

Original publication

Impact of Colchicine Monotherapy on the Risk of Acute Pericarditis Following Atrial Fibrillation Ablation. JACC Clin Electrophysiol. Published 19 April 2023. doi:10.1016/j.jacep.2023.01.037

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