International Heart Journal

Featured article

Volume 60 (2019) Issue 6 Pages 1328-1333

Different Effects of Pulmonary Vein Isolation on Quality of Life Between Patients with Persistent and Paroxysmal Atrial Fibrillation

Masaru Kato, Junichiro Miake, Kazuyoshi Ogura, Kazuhiko Iitsuka, Akihiro Okamura, Takuya Tomomori, Daiki Tsujimoto, Masahiko Kato, Kazuhiro Yamamoto

The effect of restoring sinus rhythm by pulmonary vein isolation (PVI) on the quality of life (QOL) of patients with persistent atrial fibrillation (PerAF) has not been adequately investigated. This study was performed to compare the changes in QOL after extended PVI between patients with PerAF and paroxysmal AF (PAF).

Patients with PAF (n = 38) and PerAF (n = 22) who underwent their first PVI and developed no AF recurrence 6 months after PVI were enrolled. QOL surveys were performed at baseline and 6 months post-ablation using Short Form-36 surveys.

The mental component summary score (MCS) (53.4 ± 10.2 to 56.5 ± 7.1, P = 0.019) and physical component summary score (PCS) (46.1 ± 10.6 to 48.5 ± 8.3, P = 0.015) improved after PVI in the PAF group. The PCS, but not the MCS, improved after PVI in the PerAF group (45.8 ± 7.9 to 51.5 ± 6.2, P < 0.001). Changes in the PCS were greater in the PerAF group than in the PAF group (8.6 ± 6.9 versus 2.8 ± 5.2, P = 0.009). Multivariate regression analysis demonstrated that a low baseline MCS and the type of AF (PAF) were independent predictors of an increased MCS and that a low baseline PCS and the type of AF (PerAF) were independent predictors of an increased PCS.

The changes in QOL differed between PAF and PerAF after PVI. Although most patients with PerAF were asymptomatic before PVI, their improvement in physical QOL was greater than that in patients with PAF. Such beneficial effects on physical QOL are likely expected in patients with PerAF with a low PCS before PVI.

View the past featured articles

2019 Volume 60 Issue 6

Appetite Predicts Clinical Outcomes in High Risk Patients Undergoing Trans-Femoral TAVI Yousuke Taniguchi, Kenichi Sakakura, Koichi Yuri, Yohei Nomura, Yusuke Tamanaha, Naoyuki Akashi, Takunori Tsukui, Kei Yamamoto, Hiroshi Wada, Shin-ichi Momomura, Atsushi Yamaguchi, Hideo Fujita
Real-World Antithrombotic Therapy in Atrial Fibrillation Patients with a History of Percutaneous Coronary Intervention Ai Horiguchi, Hidehira Fukaya, Jun Oikawa, Yuki Shirakawa, Shuhei Kobayashi, Yuki Arakawa, Ryo Nishinarita, Hironori Nakamura, Naruya Ishizue, Gen Igarashi, Akira Satoh, Jun Kishihara, Shinichi Niwano, Junya Ako
Predictors of Early Postoperative Supraventricular Tachyarrhythmias in Children After the Fontan Procedure Jun Yasuhara, Toshiki Kuno, Moe Taki, Koichi Toda, Takashi Kumamoto, Takuro Kojima, Hiroyuki Shimizu, Shigeki Yoshiba, Toshiki Kobayashi, Naokata Sumitomo
Analysis of Heart Rate Variability in a Patient with Takotsubo Cardiomyopathy Syndrome on the Actual Onset Day Shingo Kujime, Hidehiko Hara, Yoshinari Enomoto, Keijiro Nakamura, Takashi Yoshitama, Mahito Noro, Masao Moroi, Kaoru Sugi, Masato Nakamura

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