Association of Paroxysmal Versus Persistent Atrial Fibrillation With In-Hospital Outcomes and 30-day Readmission After Inpatient Atrial Fibrillation Ablation

Author Type(s)

Resident/Fellow

Document Type

Article

Publication Date

6-1-2024

DOI

10.19102/icrm.2024.15066

Journal Title

The Journal of Innovations in Cardiac Rhythm Management

Department

Medicine

Abstract

Knowledge of the impact of paroxysmal and persistent atrial fibrillation (AF) after catheter ablation on in-hospital outcomes and 30-day readmission remains limited. This study aimed to evaluate the procedural outcomes and 30-day readmission rates among patients with paroxysmal or persistent AF who were hospitalized for AF ablation. Using the Nationwide Readmissions Database, our study included patients aged ≥18 years with AF who were hospitalized and underwent catheter ablation during 2017-2020. Then, we compared the in-hospital procedural outcomes and 30-day readmission rates between patients with paroxysmal and persistent AF, respectively. Our study included 7310 index admissions for paroxysmal AF ablation and 9179 index admissions for persistent AF ablation. According to our analysis, there was no significant difference in procedural complications-namely, cerebrovascular accident, vascular complications, major bleeding requiring blood transfusion, phrenic nerve palsy, pericardial complications, and systemic embolization-between the persistent and paroxysmal AF groups. There was also no significant difference in early mortality between these groups (0.5% vs. 0.7%;

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