Why the study?
Does catheter ablation for atrial fibrillation provide similar safety and efficacy in elderly patients (>70 years) compared to younger patients?
Does catheter ablation for atrial fibrillation provide similar safety and efficacy in elderly patients (>70 years) compared to younger patients?
Catheter ablation for atrial fibrillation in patients >70 years is safe and, while slightly less effective than in younger patients, achieving good arrhythmia control is associated with significantly better survival.
BACKGROUND: Although elderly patients have been included in published series of catheter ablation for atrial fibrillation (AF), clinical benefit and safety remain still less defined in this population. A retrospective analysis of the results of catheter ablation for AF in a large volume center focused on comparison of elderly patients with the rest of the patient cohort was conducted in this study. METHODS: 57 months, respectively. RESULTS: < 0.01), respectively. Poor arrhythmia control was associated with relative risk of all-cause mortality of 2.7 (95% CI: 1.1-6.4) in elderly patients and 1.4 (95% CI: 0.9-2.0) in younger subjects. CONCLUSIONS: Catheter ablation for AF in elderly patients is safe although somewhat less effective. Good arrhythmia control is associated with better survival, especially in elderly patients.
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Kautzner et al. (2017) studied this question.
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