Key result
MB-LATER score effectively predicts arrhythmia recurrence after radiofrequency catheter ablation for AF.
Why the study?
Predicting AF recurrence after catheter ablation is critical for optimizing long-term follow-up and guiding decisions on discontinuing oral anticoagulation and antiarrhythmic drugs.
The MB-LATER score is a simple, clinically applicable tool for predicting late and very late arrhythmia recurrence after atrial fibrillation ablation, which can guide personalized post-procedural patient management.
May aid post-ablation AF risk stratification; leaves open prospective validation before guiding therapy.
Atrial fibrillation (AF) is most frequent sustained cardiac arrhythmia in general population. It is well established that crucial task for management of these patients is prevention of AF‐related complications. One of the most important management strategies represents catheter ablation in order to reduce AF burden, to achieve symptomatic and functional improvement, and in some patient (e.g. heart failure) to reduce overall mortality. Several prognostic scores were developed for AF recurrence prediction after catheter ablation of AF. Role of these scores might be better optimization of long-term follow-up and deciding on discontinuation of oral anticoagulant therapy and stopping of antiarrhythmic drugs after the procedure, thus identification of patients at risk for arrhythmia recurrence may be extremely important. Numerous clinical factors are associated with arrhythmia recurrence and some of those are used for developing rhythm-outcome specific scores. MB-LATER score was retrospectively derived for prediction of arrhythmia recurrence after catheter ablation of AF, and in this article, we are going to discuss its utilization in clinical practice.
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Marinković et al. (2019) conducted a review in Atrial fibrillation. MB-LATER score was evaluated on Arrhythmia recurrence. The MB-LATER score is a practical clinical tool that utilizes readily available variables to predict very late arrhythmia recurrence after radiofrequency catheter ablation of atrial fibrillation.
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