Louiza Lioni, Konstantinos P. Letsas, Michael Efremidis, Konstantinos Vlachos, Georgios Giannopoulos, Vasileios Kareliotis, Spyridon Deftereos, Antonios Sideris. Catheter ablation of atrial fibrillation in the elderly[J]. Journal of Geriatric Cardiology, 2014, 11(4): 291-295. DOI: 10.11909/j.issn.1671-5411.2014.04.003
Citation: Louiza Lioni, Konstantinos P. Letsas, Michael Efremidis, Konstantinos Vlachos, Georgios Giannopoulos, Vasileios Kareliotis, Spyridon Deftereos, Antonios Sideris. Catheter ablation of atrial fibrillation in the elderly[J]. Journal of Geriatric Cardiology, 2014, 11(4): 291-295. DOI: 10.11909/j.issn.1671-5411.2014.04.003
  • Background Atrial fibrillation (AF) catheter ablation has emerged as a promising treatment strategy for AF, but has not been widely adopted in the elderly population. The present study aimed to determine the safety and efficacy of AF catheter ablation in the elderly population. Methods and Results The study population consisted of 316 patients with paroxysmal AF who underwent left atrial ablation. Ninety-five patients were ≥ 65 years (48 males, mean age 68.9 ± 3.0 years old) and 221 patients were P = 0.169). Procedural complications were uncommon in both study groups. In logistic regression analysis, left atrial diameter (P = 0.003), hypertension (P = 0.001), dyslipidemia (P = 0.039), and coronary artery disease (P = 0.018) were independent predictors of AF recurrence in the elderly population. Conclusion Catheter ablation of AF is safe and effective in older patients. Invasive strategies should be considered as an alternative choice in symptomatic elderly patients with AF.
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