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Impact of abdominal obesity on outcomes of catheter ablation in Korean patients with atrial fibrillation
DC Field | Value | Language |
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dc.contributor.author | 장은선 | - |
dc.contributor.author | 정보영 | - |
dc.date.accessioned | 2021-12-28T16:57:43Z | - |
dc.date.available | 2021-12-28T16:57:43Z | - |
dc.date.issued | 2021-10 | - |
dc.identifier.issn | 1368-5031 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/186871 | - |
dc.description.abstract | Background: Effects of abdominal obesity on outcomes of atrial fibrillation (AF) ablation remains ill-defined. Here, we evaluated the impact of abdominal obesity on the long-term efficacy and safety of catheter AF ablation among Korean patients. Methods: We utilised the Korean National Health Insurance Service database to identify patients who underwent AF ablation. Abdominal obesity was defined as waist circumference ≥90 cm (males) and ≥85 cm (females). The primary endpoint was AF recurrence and secondary endpoints were ischaemic stroke, intracranial haemorrhage and death. Additionally, safety endpoints of peri-procedural complications were studied. Results: Among 5397 patients (median age 58 [IQR 51-65] years; 23.6% females), abdominal obesity was present in 1759 (32.6%). The rate of AF recurrence was not statistically different between the groups at 1-year (10.3 vs 8.7 events/100-PYs, P = .078), though abdominal obesity was associated with significantly higher rates of AF recurrence at 3-year (7.6 vs 6.3 events/100-PYs, P = .008) and 6-year (6.3 vs 5.2 events/100-PYs, P = .004) follow-ups. Kaplan-Meier survival analysis found significantly higher rates of AF recurrence in patients with obesity based on body mass index (BMI) and waist circumference (log-rank for trend P = .006). Using multivariable regression analysis, obesity by both BMI and waist circumference was an independent predictor for AF recurrence (HR 1.21 [95% CI, 1.05-1.40]), after accounting for other risk factors. There was a trend for increased rates of ischaemic stroke at 3-year and 6-year follow-ups in patients with abdominal obesity. Furthermore, this group of patients had a greater rate of intracranial haemorrhage. All-cause death was comparable between both groups. Total peri-procedural complications were not associated with abdominal obesity. Conclusion: Abdominal obesity as indicated by waist circumference was associated with a greater burden of concomitant diseases and an independent risk factor for long-term redo AF intervention following catheter ablation but had no effects on total peri-procedural complications. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Wiley | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF CLINICAL PRACTICE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Atrial Fibrillation* / epidemiology | - |
dc.subject.MESH | Atrial Fibrillation* / surgery | - |
dc.subject.MESH | Brain Ischemia* | - |
dc.subject.MESH | Catheter Ablation* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Obesity / complications | - |
dc.subject.MESH | Obesity / epidemiology | - |
dc.subject.MESH | Obesity, Abdominal* / complications | - |
dc.subject.MESH | Obesity, Abdominal* / epidemiology | - |
dc.subject.MESH | Recurrence | - |
dc.subject.MESH | Republic of Korea / epidemiology | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Stroke* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Impact of abdominal obesity on outcomes of catheter ablation in Korean patients with atrial fibrillation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | BioMedical Science Institute (의생명과학부) | - |
dc.contributor.googleauthor | Wern Yew Ding | - |
dc.contributor.googleauthor | Pil-Sung Yang | - |
dc.contributor.googleauthor | Eunsun Jang | - |
dc.contributor.googleauthor | Dhiraj Gupta | - |
dc.contributor.googleauthor | Jung-Hoon Sung | - |
dc.contributor.googleauthor | Boyoung Joung | - |
dc.contributor.googleauthor | Gregory Y H Lip | - |
dc.identifier.doi | 10.1111/ijcp.14696 | - |
dc.contributor.localId | A05608 | - |
dc.contributor.localId | A03609 | - |
dc.relation.journalcode | J01099 | - |
dc.identifier.eissn | 1742-1241 | - |
dc.identifier.pmid | 34338415 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/ijcp.14696 | - |
dc.contributor.alternativeName | Jang, Eunsun | - |
dc.contributor.affiliatedAuthor | 장은선 | - |
dc.contributor.affiliatedAuthor | 정보영 | - |
dc.citation.volume | 75 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | e14696 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Vol.75(10) : e14696, 2021-10 | - |
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