医学
心房颤动
导管消融
内科学
烧蚀
心脏病学
导管
射频消融术
外科
作者
Koichi Furui,Itsuro Morishima,Yasuhiro Morita,Yasunori Kanzaki,Kensuke Takagi,Hiroaki Nagai,Naoki Watanabe,Naoki Yoshioka,Ryota Yamauchi,Hiroyuki Miyazawa,Satoshi Yanagisawa,Yasuya Inden,Toyoaki Murohara
出处
期刊:Circulation
[Ovid Technologies (Wolters Kluwer)]
日期:2021-08-07
被引量:1
标识
DOI:10.1253/circj.cj-21-0218
摘要
Background The relationship between nutritional status and the incidence or prognosis of atrial fibrillation (AF) has been reported, but no studies have described the relationship between the outcomes of AF catheter ablation (CA) and nutritional status as assessed by various scoring tools. We aimed to verify the hypothesis that preoperative nutritional status is associated with arrhythmia recurrence after CA for AF.Methods and Results:We evaluated 913 patients (age, 67±10 years; men, 72%; paroxysmal AF, 56%) who underwent CA for AF between November 2011 and November 2017. Patients were systematically followed with an endpoint of atrial tachyarrhythmia recurrence, the predictive value of which was compared among 3 scoring tools (Controlling Nutritional Status [CONUT] score / Geriatric Nutritional Risk Index [GNRI] / Prognostic Nutritional Index [PNI]). Patients were divided into normal nutrition (CONUT 98 [n=836] / PNI >38 [n=910]) and undernutrition (CONUT ≥2 [n=276] / GNRI ≤98 [n=77] / PNI ≤3 [n=3]) groups. AF recurred in 274 patients (mean follow-up, 2.3±0.8 years). The AF recurrence rate was higher in patients with undernutrition than in those with normal nutrition (CONUT/GNRI) status. Multivariate Cox regression analysis identified undernutrition status (GNRI ≤98) as an independent predictor of atrial tachyarrhythmia recurrence. Conclusions The AF recurrence rate after CA was higher in patients with undernutrition than in those with normal nutrition as stratified by the nutrition scoring tools.
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