Women Have More Recurrences of Atrial Fibrillation than Men after Thoracoscopic Ablation and Suffer More from Established Risk Factors.
Robin WesselinkBente MossinkEva R MeulendijksNicoline W E van den BergJolien NeefsMakiri KawasakiBenedetta FabriziFemke R PiersmaRushd F M Al-ShamaTim A C de VriesJonas S S G de JongWim Jan P van BovenAntoine H G DriessenJoris R de GrootPublished in: Journal of clinical medicine (2023)
Women had 15% more recurrences, driven by more atrial tachycardias, which may be explained by a more fibrotic atrial substrate. What's new? Women undergoing thoracoscopic AF ablation have a higher risk of recurrent AF, driven by more atrial tachycardias. Among patients with left atrial enlargement or persistent AF, women have worse outcomes than men. Vascular disease was a risk factor for recurrence in women, but not in men. In a histopathologic analysis of the left atrial appendage, women had more collagen than men, as had patients with persistent compared to paroxysmal AF.
Keyphrases
- atrial fibrillation
- left atrial
- catheter ablation
- left atrial appendage
- polycystic ovary syndrome
- oral anticoagulants
- direct oral anticoagulants
- pregnancy outcomes
- risk factors
- cervical cancer screening
- heart failure
- percutaneous coronary intervention
- mitral valve
- left ventricular
- venous thromboembolism
- idiopathic pulmonary fibrosis
- acute coronary syndrome
- adipose tissue
- coronary artery disease