The impact of height on recurrence after index catheter ablation of paroxysmal atrial fibrillation

Ching Han Liu; Li Wei Lo; Fa Po Chung; Shih Lin Chang; Yu Feng Hu; Yenn Jiang Lin; Shih Chung Huang; Su Ting Gan; Chin Yu Lin; Tze Fan Chao; Jo Nan Liao; Ta Chuan Tuan; Chih Min Liu; Yang Che Shiu; Cheng I. Wu; Ling Kuo; Jennifer Jeanne B. Vicera; Isaiah Lugtu; Cheng Hung Li; Yu Cheng Hsieh; Yi Jen Chen; Shih Ann Chen

doi:10.1007/s10840-021-01055-2

The impact of height on recurrence after index catheter ablation of paroxysmal atrial fibrillation

Ching Han Liu, Li Wei Lo^*, Fa Po Chung, Shih Lin Chang, Yu Feng Hu, Yenn Jiang Lin, Shih Chung Huang, Su Ting Gan, Chin Yu Lin, Tze Fan Chao, Jo Nan Liao, Ta Chuan Tuan, Chih Min Liu, Yang Che Shiu, Cheng I. Wu, Ling Kuo, Jennifer Jeanne B. Vicera, Isaiah Lugtu, Cheng Hung Li, Yu Cheng HsiehYi Jen Chen, Shih Ann Chen

^*此作品的通信作者

醫學系內科學科

研究成果: Article › 同行評審

摘要

Purpose: The relationship between height and incident atrial fibrillation (AF) has recently been demonstrated. We aimed to evaluate the impact of height on outcomes of ablation in patients with drug-refractory symptomatic paroxysmal AF (PAF). Methods: A total of 689 patients (470 males; age, 53.0 ± 11.7 years) with symptomatic paroxysmal AF receiving index catheter ablation (CA) between 2003 and 2013 were enrolled in this study. The baseline characteristics, ablation, and follow-up results were evaluated. The patients were categorized according to the quartiles of height for each sex. Results: Patients in the lower quartiles of height had a lower incidence of AF recurrence (log-rank p = 0.022). Height in female patients was strongly associated with AF recurrence (p = 0.027) after an index ablation in the 6.33 ± 4.32 years of follow-up. Female patients > 159 cm in height had a higher likelihood of AF recurrence after index CA (HR = 2.01, 95% CI: 1.24–3.25, p = 0.005) than that in those below this height. In computed tomography (CT) scan, the superoinferior diameter of the left atrium (LA) correlated with body height in females, but not in male patients. Conclusions: Height is associated with AF recurrence after the index CA of PAF in female patients. In Asian populations, women above height 159 cm are twice as likely to have AF recurrence post-ablation as shorter women.

原文	English
頁數	9
期刊	Journal of Interventional Cardiac Electrophysiology
DOIs	https://doi.org/10.1007/s10840-021-01055-2
出版狀態	E-pub ahead of print - 9月 2021

存取文件

10.1007/s10840-021-01055-2

其它文件與鏈接

Link to publication in Scopus

引用此

Liu, C. H., Lo, L. W., Chung, F. P., Chang, S. L., Hu, Y. F., Lin, Y. J., Huang, S. C., Gan, S. T., Lin, C. Y., Chao, T. F., Liao, J. N., Tuan, T. C., Liu, C. M., Shiu, Y. C., Wu, C. I., Kuo, L., Vicera, J. J. B., Lugtu, I., Li, C. H., ... Chen, S. A. (2021). The impact of height on recurrence after index catheter ablation of paroxysmal atrial fibrillation. Journal of Interventional Cardiac Electrophysiology. https://doi.org/10.1007/s10840-021-01055-2

@article{27efbb16445d49318d90c6153c61e1d3,

title = "The impact of height on recurrence after index catheter ablation of paroxysmal atrial fibrillation",

abstract = "Purpose: The relationship between height and incident atrial fibrillation (AF) has recently been demonstrated. We aimed to evaluate the impact of height on outcomes of ablation in patients with drug-refractory symptomatic paroxysmal AF (PAF). Methods: A total of 689 patients (470 males; age, 53.0 ± 11.7 years) with symptomatic paroxysmal AF receiving index catheter ablation (CA) between 2003 and 2013 were enrolled in this study. The baseline characteristics, ablation, and follow-up results were evaluated. The patients were categorized according to the quartiles of height for each sex. Results: Patients in the lower quartiles of height had a lower incidence of AF recurrence (log-rank p = 0.022). Height in female patients was strongly associated with AF recurrence (p = 0.027) after an index ablation in the 6.33 ± 4.32 years of follow-up. Female patients > 159 cm in height had a higher likelihood of AF recurrence after index CA (HR = 2.01, 95% CI: 1.24–3.25, p = 0.005) than that in those below this height. In computed tomography (CT) scan, the superoinferior diameter of the left atrium (LA) correlated with body height in females, but not in male patients. Conclusions: Height is associated with AF recurrence after the index CA of PAF in female patients. In Asian populations, women above height 159 cm are twice as likely to have AF recurrence post-ablation as shorter women.",

keywords = "Catheter ablation, Height, Left atrium dimensions, Paroxysmal atrial fibrillation, Sex",

author = "Liu, {Ching Han} and Lo, {Li Wei} and Chung, {Fa Po} and Chang, {Shih Lin} and Hu, {Yu Feng} and Lin, {Yenn Jiang} and Huang, {Shih Chung} and Gan, {Su Ting} and Lin, {Chin Yu} and Chao, {Tze Fan} and Liao, {Jo Nan} and Tuan, {Ta Chuan} and Liu, {Chih Min} and Shiu, {Yang Che} and Wu, {Cheng I.} and Ling Kuo and Vicera, {Jennifer Jeanne B.} and Isaiah Lugtu and Li, {Cheng Hung} and Hsieh, {Yu Cheng} and Chen, {Yi Jen} and Chen, {Shih Ann}",

note = "Publisher Copyright: {\textcopyright} 2021, Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2021",

month = sep,

doi = "10.1007/s10840-021-01055-2",

language = "English",

journal = "Journal of Interventional Cardiac Electrophysiology",

issn = "1383-875X",

publisher = "Springer Netherlands",

}

Liu, CH, Lo, LW, Chung, FP, Chang, SL , Hu, YF , Lin, YJ, Huang, SC, Gan, ST, Lin, CY, Chao, TF, Liao, JN, Tuan, TC, Liu, CM, Shiu, YC, Wu, CI, Kuo, L, Vicera, JJB, Lugtu, I, Li, CH, Hsieh, YC, Chen, YJ & Chen, SA 2021, 'The impact of height on recurrence after index catheter ablation of paroxysmal atrial fibrillation', Journal of Interventional Cardiac Electrophysiology. https://doi.org/10.1007/s10840-021-01055-2

TY - JOUR

T1 - The impact of height on recurrence after index catheter ablation of paroxysmal atrial fibrillation

AU - Liu, Ching Han

AU - Lo, Li Wei

AU - Chung, Fa Po

AU - Chang, Shih Lin

AU - Hu, Yu Feng

AU - Lin, Yenn Jiang

AU - Huang, Shih Chung

AU - Gan, Su Ting

AU - Lin, Chin Yu

AU - Chao, Tze Fan

AU - Liao, Jo Nan

AU - Tuan, Ta Chuan

AU - Liu, Chih Min

AU - Shiu, Yang Che

AU - Wu, Cheng I.

AU - Kuo, Ling

AU - Vicera, Jennifer Jeanne B.

AU - Lugtu, Isaiah

AU - Li, Cheng Hung

AU - Hsieh, Yu Cheng

AU - Chen, Yi Jen

AU - Chen, Shih Ann

PY - 2021/9

Y1 - 2021/9

N2 - Purpose: The relationship between height and incident atrial fibrillation (AF) has recently been demonstrated. We aimed to evaluate the impact of height on outcomes of ablation in patients with drug-refractory symptomatic paroxysmal AF (PAF). Methods: A total of 689 patients (470 males; age, 53.0 ± 11.7 years) with symptomatic paroxysmal AF receiving index catheter ablation (CA) between 2003 and 2013 were enrolled in this study. The baseline characteristics, ablation, and follow-up results were evaluated. The patients were categorized according to the quartiles of height for each sex. Results: Patients in the lower quartiles of height had a lower incidence of AF recurrence (log-rank p = 0.022). Height in female patients was strongly associated with AF recurrence (p = 0.027) after an index ablation in the 6.33 ± 4.32 years of follow-up. Female patients > 159 cm in height had a higher likelihood of AF recurrence after index CA (HR = 2.01, 95% CI: 1.24–3.25, p = 0.005) than that in those below this height. In computed tomography (CT) scan, the superoinferior diameter of the left atrium (LA) correlated with body height in females, but not in male patients. Conclusions: Height is associated with AF recurrence after the index CA of PAF in female patients. In Asian populations, women above height 159 cm are twice as likely to have AF recurrence post-ablation as shorter women.

AB - Purpose: The relationship between height and incident atrial fibrillation (AF) has recently been demonstrated. We aimed to evaluate the impact of height on outcomes of ablation in patients with drug-refractory symptomatic paroxysmal AF (PAF). Methods: A total of 689 patients (470 males; age, 53.0 ± 11.7 years) with symptomatic paroxysmal AF receiving index catheter ablation (CA) between 2003 and 2013 were enrolled in this study. The baseline characteristics, ablation, and follow-up results were evaluated. The patients were categorized according to the quartiles of height for each sex. Results: Patients in the lower quartiles of height had a lower incidence of AF recurrence (log-rank p = 0.022). Height in female patients was strongly associated with AF recurrence (p = 0.027) after an index ablation in the 6.33 ± 4.32 years of follow-up. Female patients > 159 cm in height had a higher likelihood of AF recurrence after index CA (HR = 2.01, 95% CI: 1.24–3.25, p = 0.005) than that in those below this height. In computed tomography (CT) scan, the superoinferior diameter of the left atrium (LA) correlated with body height in females, but not in male patients. Conclusions: Height is associated with AF recurrence after the index CA of PAF in female patients. In Asian populations, women above height 159 cm are twice as likely to have AF recurrence post-ablation as shorter women.

KW - Catheter ablation

KW - Height

KW - Left atrium dimensions

KW - Paroxysmal atrial fibrillation

KW - Sex

UR - http://www.scopus.com/inward/record.url?scp=85114043838&partnerID=8YFLogxK

U2 - 10.1007/s10840-021-01055-2

DO - 10.1007/s10840-021-01055-2

M3 - Article

C2 - 34468890

AN - SCOPUS:85114043838

SN - 1383-875X

JO - Journal of Interventional Cardiac Electrophysiology

JF - Journal of Interventional Cardiac Electrophysiology

ER -

The impact of height on recurrence after index catheter ablation of paroxysmal atrial fibrillation

摘要

存取文件

其它文件與鏈接

指紋

引用此