Josef Kautzner, Petr Peichl, Marek Sramko, Robert Cihak, Bashar Aldhoon, Dan Wichterle. Catheter ablation of atrial fibrillation in elderly population. J Geriatr Cardiol 2017; 14(9): 563-568. doi: 10.11909/j.issn.1671-5411.2017.09.008
Citation:
Josef Kautzner, Petr Peichl, Marek Sramko, Robert Cihak, Bashar Aldhoon, Dan Wichterle. Catheter ablation of atrial fibrillation in elderly population. J Geriatr Cardiol 2017; 14(9): 563-568. doi: 10.11909/j.issn.1671-5411.2017.09.008
Josef Kautzner, Petr Peichl, Marek Sramko, Robert Cihak, Bashar Aldhoon, Dan Wichterle. Catheter ablation of atrial fibrillation in elderly population. J Geriatr Cardiol 2017; 14(9): 563-568. doi: 10.11909/j.issn.1671-5411.2017.09.008
Citation:
Josef Kautzner, Petr Peichl, Marek Sramko, Robert Cihak, Bashar Aldhoon, Dan Wichterle. Catheter ablation of atrial fibrillation in elderly population. J Geriatr Cardiol 2017; 14(9): 563-568. doi: 10.11909/j.issn.1671-5411.2017.09.008
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Videnska 1958/9, 14021 Prague, Czech Republic
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Videnska 1958/9, 14022 Prague, Czech Republic
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Videnska 1958/9, 14023 Prague, Czech Republic
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Videnska 1958/9, 14024 Prague, Czech Republic
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Videnska 1958/9, 14025 Prague, Czech Republic
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Videnska 1958/9, 14026 Prague, Czech Republic
Funds:
This study was supported by the research grants of the Min-istry of Health of the Czech Republic: “Conceptual Devel-opment of Research Organization – IKEM, IN 00023001".
Background Although elderly patients have been included in published series of catheter ablation for atrial fibrillation (AF), clinical benefit and safety remain still less defined in this population. A retrospective analysis of the results of catheter ablation for AF in a large volume center focused on comparison of elderly patients with the rest of the patient cohort was conducted in this study. Methods Consecutive patients who underwent catheter ablation for AF between January 2001 and December 2016 were analysed. A total population of 3197 patients was dichotomized by the age of 70 years (394 elderly vs. 2803 younger subjects). Patients were followed in terms of arrhythmia status and sur?vival for a median period of 18 vs. 21 and 35 vs. 57 months, respectively. Results Elderly patients were more frequently females (49% vs. 29%, P vs. 57%, P P vs. 6%, P vs. 8%, P vs. 1.5 ± 1.2 s, P vs. 3.2%, P = 0.03); however, this difference was driven by vascular complications (3.6% vs. 1.9%, P = 0.04). There were comparable rates of cerebrovascular (0.3 vs. 0.3%) or nonvascular complications (1.8 vs. 1.2%). Good arrhythmia control was inferior in elderly patients as compared with the rest of the cohort, both without and with antiarrhythmic drugs: 44.2% vs. 58.2% (P vs. 83.2% (P Conclusions Catheter abla?tion for AF in elderly patients is safe although somewhat less effective. Good arrhythmia control is associated with better survival, especially in elderly patients.