Quality of Life in Patients with Atrial Fibrillation Undergoing Pulmonary Vein Isolation: Short-Term Follow-Up Study

<i>Background and Objectives:</i> Atrial fibrillation (AF) significantly impacts the quality of life (QoL) of affected individuals. Pulmonary vein isolation (PVI) has emerged as a therapeutic approach to manage AF and improve QoL. This study aimed to assess the QoL in patients with AF undergoing PVI. <i>Methods and Materials:</i> A total of 97 AF patients undergoing PVI (radiofrequency 52.6% (n = 51) and cryoablation 47.4% (n = 46)) at Pauls Stradins Clinical University Hospital were included in this study. QoL was measured using the 36-Item Short-Form Survey (SF-36) before PVI and during a follow-up period of 5.98 ± 1.97 months. <i>Results:</i> This study consisted of 60.8% (n = 59) males, with a mean age of 60.06 ± 11.61 years. A total of 67.0% (n = 65) of patients had paroxysmal AF, and 33.0% (n = 32) had persistent AF. The SF-36 questionnaire revealed major improvements across multiple QoL domains post-PVI, reaching a statistical significance of <i>p</i> < 0.01. Patient factors, such as female gender ([estimate 21.26, 95% CI (7.18, 35.35)], <i>p</i> < 0.01), persistent AF ([estimate 15.49, 95% CI (2.83, 28.15)], <i>p</i> = 0.02), and restored sinus rhythm ([estimate 14.35, 95% CI (1.65, 27.06)], <i>p</i> = 0.03), were associated with significantly improved QoL. <i>Conclusions:</i> PVI in patients with AF positively influences various dimensions of QoL, as evidenced by significant improvement across multiple SF-36 domains. These findings emphasize worsened QoL in patients with AF and the potential benefits of PVI enhancing the overall wellbeing of individuals with AF.

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Journal
Medicina
Published
2024-09-28
DOI
https://doi.org/10.3390/medicina60101594
Citations
1
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
Field-Weighted Citation Impact
0.40
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article

Quality of Life in Patients with Atrial Fibrillation Undergoing Pulmonary Vein Isolation: Short-Term Follow-Up Study

Andrejs Ērglis, Kaspars Kupics, Kristine Jubele, M Linde et al.
1 citations
Medicina
Atrial Fibrillation Management and Outcomes
0.40
article

Quality of Life in Patients with Atrial Fibrillation Undergoing Pulmonary Vein Isolation: Short-Term Follow-Up Study

Andrejs Ērglis, Kaspars Kupics, Kristine Jubele, M Linde, Anastasija Ņikitina
article en
1 citations

Abstract

<i>Background and Objectives:</i> Atrial fibrillation (AF) significantly impacts the quality of life (QoL) of affected individuals. Pulmonary vein isolation (PVI) has emerged as a therapeutic approach to manage AF and improve QoL. This study aimed to assess the QoL in patients with AF undergoing PVI. <i>Methods and Materials:</i> A total of 97 AF patients undergoing PVI (radiofrequency 52.6% (n = 51) and cryoablation 47.4% (n = 46)) at Pauls Stradins Clinical University Hospital were included in this study. QoL was measured using the 36-Item Short-Form Survey (SF-36) before PVI and during a follow-up period of 5.98 ± 1.97 months. <i>Results:</i> This study consisted of 60.8% (n = 59) males, with a mean age of 60.06 ± 11.61 years. A total of 67.0% (n = 65) of patients had paroxysmal AF, and 33.0% (n = 32) had persistent AF. The SF-36 questionnaire revealed major improvements across multiple QoL domains post-PVI, reaching a statistical significance of <i>p</i> < 0.01. Patient factors, such as female gender ([estimate 21.26, 95% CI (7.18, 35.35)], <i>p</i> < 0.01), persistent AF ([estimate 15.49, 95% CI (2.83, 28.15)], <i>p</i> = 0.02), and restored sinus rhythm ([estimate 14.35, 95% CI (1.65, 27.06)], <i>p</i> = 0.03), were associated with significantly improved QoL. <i>Conclusions:</i> PVI in patients with AF positively influences various dimensions of QoL, as evidenced by significant improvement across multiple SF-36 domains. These findings emphasize worsened QoL in patients with AF and the potential benefits of PVI enhancing the overall wellbeing of individuals with AF.

MedicinaVol. 60(10)
Pauls Stradiņš Clinical University Hospital (LV), Riga Stradiņš University (LV), University of Latvia (LV)
Openalex Percentile: Top 32%
Atrial Fibrillation Management and Outcomes
0.40
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