1. Effect of catheter ablation on clinical outcomes in patients with atrial fibrillation and significant functional mitral regurgitation
- Author
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Jin-Tao Wu, Dan-Qing Zhao, Fu-Tao Zhang, Xiao-Jie Liu, Juan Hu, Lei-Ming Zhang, Xian-Wei Fan, Hai-Tao Yang, Li-Jie Yan, Jing-Jing Liu, and Shan-Ling Wang
- Subjects
Atrial fibrillation ,Catheter ablation ,Functional mitral regurgitation ,Drug therapy ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background In patients with atrial fibrillation (AF) and functional mitral regurgitation (MR), catheter ablation reduces the severity of MR and improves cardiac remodeling. However, its effects on prognosis are uncertain. Methods This retrospective study included 151 consecutive patients with AF and functional MR, 82 (54.3%) of whom were treated by catheter ablation (Ablation group) and 69 (45.7%) with drug therapy without ablation (Non-ablation group). Forty-three pairs of these patients were propensity matched on the basis of age, CHA2DS2-VASc scores, and left ventricular ejection fraction. The primary outcome evaluated was severity of MR, cardiac remodeling and the combined incidence of subsequent heart failure-related hospitalization and strokes/transient ischemic attacks. Results Patients in the Ablation group showed a significant decrease in the severity of MR (p
- Published
- 2021
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