Arrhythmias & electrophysiology

Impact of Low Body Mass Index on Cardiac Tamponade During Catheter Ablation for Atrial Fibrillation

JACC Clin ElectrophysiolPublished Retrospective cohort study

Main finding · Cardiac tamponadeResult — go to the resultRelative risk 1.42 95% CI 1.03–1.95

Authors' conclusion

In this analysis of a large nationwide database of patients with AF who underwent ablation, being underweight was independently associated with an increased risk of cardiac tamponade during AF ablation.

Study context

Population
Patients undergoing catheter ablation for atrial fibrillation (AF), Japan, April 2016–March 2018
Participants
59,789 hospitalizations
Exposure
Underweight vs normal weight
Outcome
Cardiac tamponade during AF ablation
Methodological detailsJapanese nationwide claims database, mixed-effects multivariable Poisson regression
  • Japanese nationwide claims database
  • Mixed-effects multivariable Poisson regression

Main finding

Cardiac tamponade

Relative risk

1.42

95% CI 1.03–1.95

Underweightvs Normal weight
RR 1.42 (95% CI 1.03–1.95)

As reported in the abstract

Cardiac tamponade overall (647 patients)
1.1%

Observational data: associations, not effects.

Further findings

Other risk factors for cardiac tamponade

Increased risk with age ≥75 years, female sex, history of HF, hypertension, DM and dialysis

Original publication

Impact of Low Body Mass Index on Cardiac Tamponade During Catheter Ablation for Atrial Fibrillation. JACC Clin Electrophysiol. Published 31 October 2022. doi:10.1016/j.jacep.2022.08.025

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