Display options
Cite
Bulava A, Hanis J, Dusek L. Clinical outcomes of radiofrequency catheter ablation of atrial fibrillation in octogenarians-10-year experience of a one high-volume center. J Geriatr Cardiol. 2017;14(9):575-581doi: 10.11909/j.issn.1671-5411.2017.09.007.
Bulava, A., Hanis, J., & Dusek, L. (2017). Clinical outcomes of radiofrequency catheter ablation of atrial fibrillation in octogenarians-10-year experience of a one high-volume center. Journal of geriatric cardiology : JGC, 14(9), 575-581. https://doi.org/10.11909/j.issn.1671-5411.2017.09.007
Bulava, Alan, et al. "Clinical outcomes of radiofrequency catheter ablation of atrial fibrillation in octogenarians-10-year experience of a one high-volume center." Journal of geriatric cardiology : JGC vol. 14,9 (2017): 575-581. doi: https://doi.org/10.11909/j.issn.1671-5411.2017.09.007
Bulava A, Hanis J, Dusek L. Clinical outcomes of radiofrequency catheter ablation of atrial fibrillation in octogenarians-10-year experience of a one high-volume center. J Geriatr Cardiol. 2017 Sep;14(9):575-581. doi: 10.11909/j.issn.1671-5411.2017.09.007. PMID: 29056956; PMCID: PMC5641645.
Copy Download .nbib Format: NLM
Share it on

J Geriatr Cardiol. 2017 Sep;14(9):575-581. doi: 10.11909/j.issn.1671-5411.2017.09.007.

Clinical outcomes of radiofrequency catheter ablation of atrial fibrillation in octogenarians-10-year experience of a one high-volume center.

Journal of geriatric cardiology : JGC

Alan Bulava, Jiri Hanis, Ladislav Dusek

Affiliations

  1. Department of Cardiology, Ceske Budejovice Hospital, Ceske Budejovice, Czech Republic.
  2. Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic.
  3. Faculty of Health and Social Sciences, University of South Bohemia in Ceske Budejovice, Czech Republic.
  4. Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

PMID: 29056956 PMCID: PMC5641645 DOI: 10.11909/j.issn.1671-5411.2017.09.007

Abstract

BACKGROUND: Prevalence of atrial fibrillation (AF) increases with age. Radiofrequency catheter ablation (RFCA) is an established treatment option superior to antiarrhythmics (AAs). In this study, we investigated safety and efficacy of RFCA of AF in octogenarians.

METHODS: From our database, we extracted procedural and follow-up data for patients ≥ 80 years with symptomatic AF undergoing RFCA and compared this population to RFCA patients ≤ 50 years. All patients underwent pulmonary vein isolation (PVI) supplemented by linear lesions in PVI-nonresponders. Arrhythmia-free survival was assessed using seven day Holter every three months post procedure. All patients completed their 12 months follow-up.

RESULTS: Fifty patients aged ≥ 80 years (80.5 ± 1.6 years) were compared to 259 patients aged ≤ 50 years (43.5 ± 5.5 years). The RFCA complication rate did not vary between groups. No differences in procedural characteristics were seen after being analyzed by type of AF. Among patients with paroxysmal AF, 71.4% octogenarian

CONCLUSIONS: RFCA is a safe and effective strategy to achieve normal sinus rhythm in a highly selected group of octogenarians. Paroxysmal AF ablation in octogenarians has similar clinical effectiveness as that seen in much younger patients. Non-paroxysmal AF ablation has lower, but still reasonable clinical effectiveness.

Keywords: Atrial fibrillation; Catheter ablation; Effectiveness; Octogenarians; Safety; The elderly

References

  1. Stroke. 1991 Mar;22(3):312-8 - PubMed
  2. Pacing Clin Electrophysiol. 2010 Feb;33(2):146-52 - PubMed
  3. Europace. 2013 Jan;15(1):24-32 - PubMed
  4. Heart Fail Rev. 2012 Sep;17(4-5):597-613 - PubMed
  5. J Cardiovasc Electrophysiol. 2012 Jul;23(7):687-93 - PubMed
  6. JAMA. 2010 Jan 27;303(4):333-40 - PubMed
  7. JAMA. 2005 Jun 1;293(21):2634-40 - PubMed
  8. Ann Intern Med. 2013 Mar 5;158(5 Pt 1):338-46 - PubMed
  9. Circ Arrhythm Electrophysiol. 2010 Feb;3(1):32-8 - PubMed
  10. Stroke. 1996 Oct;27(10):1760-4 - PubMed
  11. JAMA Cardiol. 2017 Jul 1;2(7):812-813 - PubMed
  12. Europace. 2016 Apr;18(4):543-9 - PubMed
  13. Europace. 2007 Aug;9(8):613-20 - PubMed
  14. Eur Heart J. 2006 Apr;27(8):949-53 - PubMed
  15. J Cardiovasc Electrophysiol. 2004 Jan;15(1):8-13 - PubMed
  16. J Am Coll Cardiol. 2004 Jul 7;44(1):109-16 - PubMed
  17. Am J Cardiol. 1996 Dec 15;78(12):1433-6 - PubMed
  18. J Cardiovasc Electrophysiol. 2008 Aug;19(8):807-11 - PubMed
  19. Circulation. 2008 Dec 9;118(24):2498-505 - PubMed
  20. Curr Opin Cardiol. 2011 Jan;26(1):25-9 - PubMed
  21. J Cardiovasc Electrophysiol. 2008 Jun;19(6):621-6 - PubMed
  22. Eur Heart J. 2016 Oct 7;37(38):2893-2962 - PubMed
  23. J Cardiovasc Electrophysiol. 2005 May;16(5):457-61 - PubMed
  24. Int J Cardiol. 2010 Nov 5;145(1):147-8 - PubMed
  25. J Cardiovasc Electrophysiol. 2008 Jun;19(6):627-31 - PubMed
  26. Heart Rhythm. 2010;7(2):167-72 - PubMed
  27. Stroke. 2001 Nov;32(11):2559-66 - PubMed
  28. JAMA. 2001 May 9;285(18):2370-5 - PubMed

Publication Types