Document Type
Article
Publication Title
Heart Rhythm O2
Abstract
BACKGROUND: Outcomes following catheter ablation (CA) for atrial fibrillation (AF) improve as the diagnosis-to-ablation time (DAT) shortens. Use of a protocol-based integrated care model through a dedicated atrial fibrillation clinic (AFC) may serve to standardize treatment pathways and decrease DAT.
OBJECTIVE: To evaluate the DAT and clinical characteristics of patients with AF referred from an AFC vs a conventional electrophysiology clinic (EC).
METHODS: Retrospective analysis was completed in consecutive patients undergoing index AF ablation at Riverside Methodist Hospital in 2019 with minimum 1 year follow-up. Patients were categorized based off their CA referral source (AFC vs EC) and where the initial visit following index diagnosis of AF occurred (AFC vs EC).
RESULTS: A total of 182 patients (mean age 65 years, 64% male) were reviewed. Patients referred from an AFC (21%) had a median DAT of 342 days (interquartile range [IQR], 125-855 days) compared to patients referred from EC (79%) with a median DAT of 813 days (IQR, 241-1444 days;
CONCLUSION: DAT is a modifiable factor that may affect CA outcomes. Significant reductions in DAT were observed in patients evaluated through a dedicated AF clinic.
First Page
639
Last Page
646
DOI
10.1016/j.hroo.2022.08.007
Publication Date
12-1-2022
Recommended Citation
Robinson, Andrea; Chopra, Nagesh; Badin, Auroa G; Billakanty, Sreedhar R; Cooper, Keaira; Fu, Eugene Y; James, Jennifer; Murnane, Victoria; Swinning, Jill; Stelzer, Mitchell; Tyler, Jaret D; and Amin, Anish K, "Impact of a dedicated atrial fibrillation clinic on diagnosis-to-ablation time." (2022). Heart and Vascular Articles. 5.
https://scholarlyworks.ohiohealth.com/heart-vascular-articles/5