Arrhythmias & electrophysiology

Non-early catheter ablation vs drug therapy in atrial fibrillation: Results from the CABANA trial

Heart RhythmPublished Secondary analysis of the CABANA randomised trial

Authors' conclusion

Non-early AF patients may benefit from catheter ablation similar to early AF patients.

Study context

Population
Patients with atrial fibrillation (AF) in CABANA, by non-early (onset of AF ≥1 year) vs early AF1,122 with non-early AF
Participants
2,178 patients
Comparison
Catheter ablation vs drug therapy in non-early AF
Primary endpoint
Composite of:
  • Death
  • Disabling stroke
  • Serious bleeding
  • Cardiac arrest

Primary result

As reported in the abstract

Primary composite, by AF timing (subgroup)
Ablation vs Drug therapyAdjusted hazard ratio (95% CI)P value
Non-early AF
0.83(0.53–1.30)
P = 0.413
Early AF
0.78(0.52–1.16)
P = 0.220

Secondary outcomes

OutcomeaHR (95% CI)P value
All-cause mortality (non-early AF)Relative reduction 26%0.74 (0.42–1.33)P = 0.314
All-cause mortality or CV hospitalization (non-early AF)Relative reduction 23%0.77 (0.65–0.91)P = 0.002
All-cause mortality or CV hospitalization (non-early AF, excluding prior HF)0.78 (0.65–0.93)P = 0.005

Original publication

Non-early catheter ablation vs drug therapy in atrial fibrillation: Results from the CABANA trial. Heart Rhythm. Published 9 November 2024. doi:10.1016/j.hrthm.2024.11.010

Composed by AI from the published abstract and checked against it. How Briefs are made →

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