Age as a risk factor for stroke in atrial fibrillation patients: implications for thromboprophylaxis. Marinigh R, Lip GY, Fiotti N, Giansante C, Lane DA. ABC (Atrial fibrillation Better Care) Pathway and Healthcare Costs in Atrial Fibrillation: The ATHERO-AF Study. Pastori D, Farcomeni A, Pignatelli P, Violi F, Lip GY. Integrated Care Management of Patients With Atrial Fibrillation and Risk of Cardiovascular Events: The ABC (Atrial fibrillation Better Care) Pathway in the ATHERO-AF Study Cohort. Pastori D, Pignatelli P, Menichelli D, Violi F, Lip GYH. Improved Population-Based Clinical Outcomes of Patients with Atrial Fibrillation by Compliance with the Simple ABC (Atrial Fibrillation Better Care) Pathway for Integrated Care Management: A Nationwide Cohort Study. Yoon M, Yang PS, Jang E, Yu HT, Kim TH, Uhm JS et al. Improved Outcomes by Integrated Care of Anticoagulated Patients with Atrial Fibrillation Using the Simple ABC (Atrial Fibrillation Better Care) Pathway. Proietti M, Romiti GF, Olshansky B, Lane DA, Lip GYH. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomström-Lundqvist C, et al. The primary indication for rhythm control is to reduce the AF burden and its effects, including AF-related symptoms, stroke, heart failure, hospitalizations, and poor quality of life. The rhythm control strategy refers to attempts to restore sinus rhythm and may involve a combination of approaches, including cardioversion, antiarrhythmic medication, and catheter ablation (CA). doi: 10.1161/01.STR.0000230607.07928.17.Īs AF progression is associated with a decrease in quality of life and, with time, becomes irreversible or less amenable to treatment, rhythm control is a relevant choice. Atrial fibrillation and stroke in the general medicare population: a 10-year perspective (1992 to 2002). Lakshminarayan K, Solid CA, Collins AJ, Anderson DC, Herzog CA. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. Go AS, Hylek EM, Phillips KA, Chang Y, Henault LE, Selby JV, et al. Secular trends in incidence of atrial fibrillation in Olmsted County, Minnesota, 1980 to 2000, and implications on the projections for future prevalence. Miyasaka Y, Barnes ME, Gersh BJ, Cha SS, Bailey KR, Abhayaratna WP, et al. Prevalence, incidence and lifetime risk of atrial fibrillation: the Rotterdam study. Heeringa J, van der Kuip DA, Hofman A, Kors JA, van Herpen G, Stricker BH, et al. Anticoagulation has proven to be effective in preventing ischemic stroke in this population however, it also imposes a risk of bleeding complications. Treating elderly patients with AF remains challenging, as antiarrhythmic drugs (AADs) are not frequently effective, and they pose risks due to common side effects. Although AF is not an immediately life-threatening arrhythmia, the management of AF in the elderly is challenging, as it is normally associated with comorbidities and frailty. There was no significant difference in the AF CA-related complications when comparing the patients by age group.Ītrial Fibrilation Elderly Catheter Ablation/complications Comorbidities Anticoagulants Echocardiography, Transesophageal/methodsĪtrial fibrillation (AF) is the most frequent arrhythmia, and its incidence increases with age. The total complication rate was 3.3% in patients 70 years (p = 0.742). We found an overall total complication rate of 4.6%. P values less than 0.05 were considered significant. Categorical variables were evaluated with chi-square and Fisher’s test, and continuous variables were evaluated by Kruskal-Wallis and post-hoc Tamhane’s T2. All the included patients underwent radiofrequency ablation using an electroanatomic mapping system. MethodsĪ retrospective analysis of 219 patients who underwent CA for AF between 20 were divided into 3 age groups: less than 60 years, 60 to 70 years, and > 70 years. To evaluate the rate of complications associated with CA for AF across different age groups. AF catheter ablation (CA) is a safe and superior alternative to antiarrhythmic drugs (AADs) for the maintenance of sinus rhythm. The management of AF in the elderly is challenging, as it is normally associated with comorbidities and frailty. Atrial fibrillation (AF) is the most frequent arrhythmia, and its prevalence increases with age.
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