Heart failure & cardiomyopathies

Transcatheter Ablation of Atrial Fibrillation in Patients With Hypertrophic Cardiomyopathy: A Multicenter Propensity Score-Based Analysis

JACC AdvPublished Retrospective cohort study

Authors' conclusion

After 5 years of follow-up, CA did not improve major adverse cardiac outcomes in a large cohort of patients with HCM and AF.

Study context

Population
Patients with hypertrophic cardiomyopathy and atrial fibrillation (AF)matched cohort n = 226
Participants
555 patients
Exposure
Catheter ablation vs medical therapy for AF
  • Interventionn = 113
  • Medicaln = 113reference
Outcome
Composite of:
  • All-cause mortality
  • Heart transplant
  • Acute HF exacerbations
Follow-up
Median 58.1 months
Methodological detailsmulticentre, propensity-score matched, inverse probability weighted analysis
  • Multicentre
  • Propensity-score matched
  • Inverse probability weighted analysis

Main finding

As reported in the abstract

P = 0.9

Observational data: associations, not effects.

Secondary outcomes

AF recurrence

P = 0.001

Transition to permanent AF

P = 0.026

OutcomeInterventionMedicalP value
Major arrhythmic events4.48.0%P = 0.779

Safety

Thromboembolic stroke

P = 0.144

OutcomeInterventionMedical
Severe complications related to CAUncommon0.7%— not stated in the abstract

— not stated in the abstract

Original publication

Transcatheter Ablation of Atrial Fibrillation in Patients With Hypertrophic Cardiomyopathy: A Multicenter Propensity Score-Based Analysis. JACC Adv. Published 15 March 2024. doi:10.1016/j.jacadv.2024.100899

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.