Cargando…

A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score

INTRODUCTION: A scoring system to determine indications for catheter ablation (CA) in atrial fibrillation (AF) is desired. METHODS AND RESULTS: Among 2898 consecutive patients with AF, CA was performed in 938 (32.4%). A new HEAL‐AF score has been developed by six variables, all of which were indepen...

Descripción completa

Detalles Bibliográficos
Autores principales: Otsuka, Takayuki, Suzuki, Shinya, Arita, Takuto, Yagi, Naoharu, Ikeda, Takanori, Yamashita, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733586/
https://www.ncbi.nlm.nih.gov/pubmed/33335616
http://dx.doi.org/10.1002/joa3.12429
_version_ 1783622302502486016
author Otsuka, Takayuki
Suzuki, Shinya
Arita, Takuto
Yagi, Naoharu
Ikeda, Takanori
Yamashita, Takeshi
author_facet Otsuka, Takayuki
Suzuki, Shinya
Arita, Takuto
Yagi, Naoharu
Ikeda, Takanori
Yamashita, Takeshi
author_sort Otsuka, Takayuki
collection PubMed
description INTRODUCTION: A scoring system to determine indications for catheter ablation (CA) in atrial fibrillation (AF) is desired. METHODS AND RESULTS: Among 2898 consecutive patients with AF, CA was performed in 938 (32.4%). A new HEAL‐AF score has been developed by six variables, all of which were independently associated with CA by multivariate analysis and for each 1 point was assigned: heart failure ≥ NYHA II, elderly patients (age ≥75 years), asymptomatic AF, long‐standing persistent AF, atrial dilation (left atrial diameter ≥ 50 mm), and female sex. Low HEAL‐AF score was associated with high incidence of CA performance (52.0% for 0, 36.5% for 1, 15.1% for 2, and 5.6% for ≥ 3) and the predictive capability of this score by AUC of ROC curve was 0.720 (95% CI 0.701‐0.739, P < .001). The rates of freedom from AF/AT recurrence were 73.2% in HEAL‐AF score 0, 71.0% in 1, 60.0% in 2, and 50.0% in ≥ 3 (log‐rank test, P = .004). HEAL‐AF score 2 and ≥ 3 were significantly associated with recurrence of atrial tachyarrhythmia as compared with HEAL‐AF 0 (HR 1.755, P = .002, and HR 2.211, P = .007, respectively). CONCLUSIONS: A new HEAL‐AF score was associated with patient indication for and the recurrence of atrial tachyarrhythmia after CA in patients with AF. Prescription of CA should be considered carefully in AF patients with HEAL‐AF score of 2 and ≥ 3.
format Online
Article
Text
id pubmed-7733586
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-77335862020-12-16 A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score Otsuka, Takayuki Suzuki, Shinya Arita, Takuto Yagi, Naoharu Ikeda, Takanori Yamashita, Takeshi J Arrhythm Original Articles INTRODUCTION: A scoring system to determine indications for catheter ablation (CA) in atrial fibrillation (AF) is desired. METHODS AND RESULTS: Among 2898 consecutive patients with AF, CA was performed in 938 (32.4%). A new HEAL‐AF score has been developed by six variables, all of which were independently associated with CA by multivariate analysis and for each 1 point was assigned: heart failure ≥ NYHA II, elderly patients (age ≥75 years), asymptomatic AF, long‐standing persistent AF, atrial dilation (left atrial diameter ≥ 50 mm), and female sex. Low HEAL‐AF score was associated with high incidence of CA performance (52.0% for 0, 36.5% for 1, 15.1% for 2, and 5.6% for ≥ 3) and the predictive capability of this score by AUC of ROC curve was 0.720 (95% CI 0.701‐0.739, P < .001). The rates of freedom from AF/AT recurrence were 73.2% in HEAL‐AF score 0, 71.0% in 1, 60.0% in 2, and 50.0% in ≥ 3 (log‐rank test, P = .004). HEAL‐AF score 2 and ≥ 3 were significantly associated with recurrence of atrial tachyarrhythmia as compared with HEAL‐AF 0 (HR 1.755, P = .002, and HR 2.211, P = .007, respectively). CONCLUSIONS: A new HEAL‐AF score was associated with patient indication for and the recurrence of atrial tachyarrhythmia after CA in patients with AF. Prescription of CA should be considered carefully in AF patients with HEAL‐AF score of 2 and ≥ 3. John Wiley and Sons Inc. 2020-09-02 /pmc/articles/PMC7733586/ /pubmed/33335616 http://dx.doi.org/10.1002/joa3.12429 Text en © 2020 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of Japanese Heart Rhythm Society This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Otsuka, Takayuki
Suzuki, Shinya
Arita, Takuto
Yagi, Naoharu
Ikeda, Takanori
Yamashita, Takeshi
A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score
title A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score
title_full A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score
title_fullStr A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score
title_full_unstemmed A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score
title_short A novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: The HEAL‐AF Score
title_sort novel and simple scoring system for assessing the indication for catheter ablation in patients with atrial fibrillation: the heal‐af score
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733586/
https://www.ncbi.nlm.nih.gov/pubmed/33335616
http://dx.doi.org/10.1002/joa3.12429
work_keys_str_mv AT otsukatakayuki anovelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT suzukishinya anovelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT aritatakuto anovelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT yaginaoharu anovelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT ikedatakanori anovelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT yamashitatakeshi anovelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT otsukatakayuki novelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT suzukishinya novelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT aritatakuto novelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT yaginaoharu novelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT ikedatakanori novelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore
AT yamashitatakeshi novelandsimplescoringsystemforassessingtheindicationforcatheterablationinpatientswithatrialfibrillationthehealafscore