Key result
Higher APPLE and DR-FLASH scores significantly predicted the presence of left atrial low voltage areas (OR 1.789 and 2.144, respectively) in patients undergoing catheter ablation for atrial fibrillation.
Why the study?
Do APPLE, DR-FLASH, and MB-LATER scores predict low voltage areas and arrhythmia recurrences in patients with atrial fibrillation undergoing catheter ablation?
Cohort (n=1,114)
No
Do APPLE, DR-FLASH, and MB-LATER scores predict low voltage areas and arrhythmia recurrences in patients with atrial fibrillation undergoing catheter ablation?
Odds Ratio: 1.789 (95% CI 1.316–2.432)
p-value: p=<0.001
APPLE and DR-FLASH scores predict low voltage areas, while MB-LATER and early recurrence predict late arrhythmia recurrence after AF ablation, highlighting the need for a unified predictive clinical score.
No takes yet. Share an insight, caveat, or question.
APPLE/DR-FLASH scores may aid LVA risk stratification; leaves open prospective validation before guiding ablation decisions.
Kornej et al. (2018) conducted a cohort in Atrial fibrillation (n=1,114). APPLE score vs. Lower APPLE score was evaluated on Presence of left atrial low voltage areas (LVA) (OR 1.789, 95% CI 1.316-2.432, p=<0.001). Higher APPLE and DR-FLASH scores significantly predicted the presence of left atrial low voltage areas (OR 1.789 and 2.144, respectively) in patients undergoing catheter ablation for atrial fibrillation.
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