Why the study?
What are the trends and predictors of early catheter ablation for newly diagnosed atrial fibrillation in patients under age 65?
What are the trends and predictors of early catheter ablation for newly diagnosed atrial fibrillation in patients under age 65?
The use of early catheter ablation for newly diagnosed AF in patients under 65 increased from 2010 to 2016, though most patients are still trialed on antiarrhythmic drugs first, and higher clinical risk profiles predict lower referral rates.
Rising early ablation use reveals regional and risk-based referral disparities; leaves open equitable access and outcome impact in observational data.
CA within 12 months for new-diagnosed AF increased significantly from 2010 to 2016, with most patients still trialed on an AAD prior to CA. Patients are less likely to be referred for early CA if they are located in the Northeast and North Central regions, have more comorbidities, or higher CHA₂DS₂-VASc scores.
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D’Angelo et al. (2020) studied this question.
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