West J Nurs Res. 2021 Apr 26;1939459211012087. doi: 10.1177/01939459211012087. Epub 2021 Apr 26.

Trajectories of Recovery after Atrial Fibrillation Ablation.

Western journal of nursing research

Kathryn A Wood, Angel H Barnes, Bonnie Mowinski Jennings

PMID: 33899608 DOI: 10.1177/01939459211012087

Abstract

Ablation procedures are common for patients with atrial fibrillation (AF), yet evidence is limited about patient perceptions of their recovery following ablation. We sought to expand understanding of this recovery process. Twenty participants undergoing their first AF ablation completed semi-structured interviews prior to ablation (baseline) and at one, three, and six months post AF ablation. Pre-procedure education is modeled after education used for other ablation procedures, preparing patients to expect a single recovery trajectory. We identified two recovery trajectories that varied in speed of symptom resolution: sustained improvement and pseudo improvement. Recovery was slower than expected in both trajectories. Moreover, returning to desired activity levels consistently lagged behind other symptom resolution by approximately two months. A more accurate understanding of what patients experience post-ablation, as illustrated in these findings, serves as a beginning step to alter patient education prior to AF ablation to better prepare individuals for the recovery process.

Keywords: atrial fibrillation; catheter ablation; patient education; qualitative methods; recovery; symptom assessment

Publication Types

• Journal Article