Atrial Fibrillation Ablation in Octogenarians
Author Information
Author(s): Grubitzsch Herko, Beholz Sven, Dohmen Pascal M, Dushe Simon, Konertz Wolfgang
Primary Institution: Charité – Universitätsmedizin Berlin
Hypothesis
What is the outcome of concomitant atrial fibrillation ablation in octogenarians undergoing cardiac surgery?
Conclusion
Sinus rhythm restoration rate and functional improvement are satisfactory in octogenarians undergoing concomitant AF ablation.
Supporting Evidence
- Octogenarians had a higher EuroSCORE indicating increased perioperative risk.
- Freedom from AF demonstrated no significant difference between octogenarians and younger patients.
- Late mortality was higher in octogenarians, but sinus rhythm restoration was achieved in 82% of them.
Takeaway
Older people can have heart surgery to fix their heart rhythm, and it often works well for them.
Methodology
The study analyzed outcomes of 200 patients undergoing concomitant AF ablation, with a focus on 28 patients aged 80 and older, using prospective follow-up and statistical analysis.
Potential Biases
The observational nature of the study may introduce selection bias.
Limitations
The study is a retrospective analysis of prospectively collected data, limiting generalizability.
Participant Demographics
28 octogenarians (mean age 82 ± 2.4 years) and 172 younger patients (mean age 68 ± 7.9 years), with a higher proportion of women in the older group.
Statistical Information
P-Value
p < 0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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