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Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation
BACKGROUND: Although several studies have reported an association between atrial fibrillation (AF) and alcohol, the impact of alcohol consumption on the outcome after catheter ablation (CA) for AF has not been discussed. We aimed to elucidate the effect of alcohol consumption on the outcome of CA fo...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5210418/ https://www.ncbi.nlm.nih.gov/pubmed/27895043 http://dx.doi.org/10.1161/JAHA.116.004149 |
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author | Takigawa, Masateru Takahashi, Atsushi Kuwahara, Taishi Takahashi, Yoshihide Okubo, Kenji Nakashima, Emiko Watari, Yuji Nakajima, Jun Yamao, Kazuya Osaka, Yuki Tanaka, Yasuaki Kimura, Shigeki Takagi, Katsumasa Hikita, Hiroyuki Hirao, Kenzo Isobe, Mitsuaki |
author_facet | Takigawa, Masateru Takahashi, Atsushi Kuwahara, Taishi Takahashi, Yoshihide Okubo, Kenji Nakashima, Emiko Watari, Yuji Nakajima, Jun Yamao, Kazuya Osaka, Yuki Tanaka, Yasuaki Kimura, Shigeki Takagi, Katsumasa Hikita, Hiroyuki Hirao, Kenzo Isobe, Mitsuaki |
author_sort | Takigawa, Masateru |
collection | PubMed |
description | BACKGROUND: Although several studies have reported an association between atrial fibrillation (AF) and alcohol, the impact of alcohol consumption on the outcome after catheter ablation (CA) for AF has not been discussed. We aimed to elucidate the effect of alcohol consumption on the outcome of CA for paroxysmal AF. METHODS AND RESULTS: We examined 1361 consecutive patients with paroxysmal AF (mean age, 61±11 years, 334 women) who underwent CA, including 623 (45.8%) patients who consumed alcohol. The clinical characteristics and outcomes of CA were compared between patients who did and did not consume alcohol. No significant differences were seen in the left atrial size, duration of AF history, and incidence of nonpulmonary vein foci between 2 groups (P=NS). Although the AF recurrence‐free rate after the initial CA was higher in patients who did not consume alcohol (261/623 [41.9%] versus 252/738 [34.1%]; mean follow‐up, 44.4±30.7 months; P=0.003), the outcome after the final CA was similar between 2 groups (patients who consumed alcohol: 111/628 [17.7%] versus patients who did not consume alcohol: 138/738 [18.7%]; mean follow‐up, 53.1±25.8 months; P=0.67). The frequency (hazard ratio 1.07 per 1 day/week increase, CI 1.00–1.15, P=0.04) of alcohol consumption was significantly associated with AF recurrence after CA. CONCLUSIONS: The frequency of alcohol consumption may be associated with AF recurrence after the initial CA for paroxysmal AF, but it may not affect the outcome after the final CA. |
format | Online Article Text |
id | pubmed-5210418 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-52104182017-01-05 Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation Takigawa, Masateru Takahashi, Atsushi Kuwahara, Taishi Takahashi, Yoshihide Okubo, Kenji Nakashima, Emiko Watari, Yuji Nakajima, Jun Yamao, Kazuya Osaka, Yuki Tanaka, Yasuaki Kimura, Shigeki Takagi, Katsumasa Hikita, Hiroyuki Hirao, Kenzo Isobe, Mitsuaki J Am Heart Assoc Original Research BACKGROUND: Although several studies have reported an association between atrial fibrillation (AF) and alcohol, the impact of alcohol consumption on the outcome after catheter ablation (CA) for AF has not been discussed. We aimed to elucidate the effect of alcohol consumption on the outcome of CA for paroxysmal AF. METHODS AND RESULTS: We examined 1361 consecutive patients with paroxysmal AF (mean age, 61±11 years, 334 women) who underwent CA, including 623 (45.8%) patients who consumed alcohol. The clinical characteristics and outcomes of CA were compared between patients who did and did not consume alcohol. No significant differences were seen in the left atrial size, duration of AF history, and incidence of nonpulmonary vein foci between 2 groups (P=NS). Although the AF recurrence‐free rate after the initial CA was higher in patients who did not consume alcohol (261/623 [41.9%] versus 252/738 [34.1%]; mean follow‐up, 44.4±30.7 months; P=0.003), the outcome after the final CA was similar between 2 groups (patients who consumed alcohol: 111/628 [17.7%] versus patients who did not consume alcohol: 138/738 [18.7%]; mean follow‐up, 53.1±25.8 months; P=0.67). The frequency (hazard ratio 1.07 per 1 day/week increase, CI 1.00–1.15, P=0.04) of alcohol consumption was significantly associated with AF recurrence after CA. CONCLUSIONS: The frequency of alcohol consumption may be associated with AF recurrence after the initial CA for paroxysmal AF, but it may not affect the outcome after the final CA. John Wiley and Sons Inc. 2016-11-28 /pmc/articles/PMC5210418/ /pubmed/27895043 http://dx.doi.org/10.1161/JAHA.116.004149 Text en © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Research Takigawa, Masateru Takahashi, Atsushi Kuwahara, Taishi Takahashi, Yoshihide Okubo, Kenji Nakashima, Emiko Watari, Yuji Nakajima, Jun Yamao, Kazuya Osaka, Yuki Tanaka, Yasuaki Kimura, Shigeki Takagi, Katsumasa Hikita, Hiroyuki Hirao, Kenzo Isobe, Mitsuaki Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation |
title | Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation |
title_full | Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation |
title_fullStr | Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation |
title_full_unstemmed | Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation |
title_short | Impact of Alcohol Consumption on the Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation |
title_sort | impact of alcohol consumption on the outcome of catheter ablation in patients with paroxysmal atrial fibrillation |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5210418/ https://www.ncbi.nlm.nih.gov/pubmed/27895043 http://dx.doi.org/10.1161/JAHA.116.004149 |
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