期刊
CLINICAL AND EXPERIMENTAL HYPERTENSION
卷 45, 期 1, 页码 -出版社
TAYLOR & FRANCIS INC
DOI: 10.1080/10641963.2023.2207784
关键词
Atrial fibrillation; radiofrequency catheter ablation (RFCA); age creatinine; and ejection fraction (ACEF) score; late recurrence
The clinical risk factors associated with late recurrence in patients with non-valvular atrial fibrillation (AF) undergoing radiofrequency catheter ablation (RFCA) remain unknown. The Age, creatinine, and ejection fraction (ACEF) score is a useful risk score for cardiovascular morbidity and mortality. Pre-ablation ACEF score is a valuable risk score for assessing late AF recurrence after RFCA in patients with NVAF, along with left atrial diameter (LAD).
The clinical risk factors associated with late recurrence in patients with non-valvular atrial fibrillation (AF) (NVAF) undergoing radiofrequency catheter ablation (RFCA) remain unknown. Furthermore, the current prognostic risk score system is commonly used in such patients as a noninvasive method to assess late AF recurrence. According to recent research, the Age, creatinine, and ejection fraction (ACEF) score is a useful risk score for cardiovascular morbidity and mortality. As a result, we hypothesized that pre-ablation ACEF score could be used to assess late recurrence in patients with NVAF. We included 325 NVAF patients undergoing RFCA. During a median follow-up period of 12 months, patients with late AF recurrence had higher ACEF scores (P < .001). The pre-ablation ACEF score was a risk factor for late AF recurrence after RFCA (P = .027). The ACEF score was a predictor of late AF recurrence after RFCA, with an AUC of 0.624 (P = .001). Moreover, the AUC of left atrial diameter (LAD) was 0.7 (P < .001), which was higher than the ACEF score, but no significant difference was found (P = .104). The ACEF score was positively correlated with LAD, advanced age, and B-type natriuretic peptide. In patients with NVAF, the pre-ablation ACEF score is a valuable risk score for assessing late AF recurrence after RFCA, as with LAD.
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