Table 1

Baseline characteristics

All patientsLimited ablation groupExtended ablation groupP
n = 74n = 38n = 36
Age (years)71 (61; 75)70 (61; 75)71 (60; 74)NS
Males41 (55%)24 (63%)17 (47%)NS
Aetiology of PH
 – Idiopathic41 (55%)23 (61%)18 (50%)NS
 – Chronic thromboembolic22 (30%)10 (26%)12 (33%)NS
 – Lung disease/hypoxia11 (15%)5 (13%)6 (17%)NS
Index arrhythmia
 – Atrial fibrillation38 (51%)19 (50%)19 (53%)NS
  – Paroxysmal11 (15%)6 (16%)5 (14%)NS
  – Persistent22 (30%)10 (26%)12 (33%)NS
  – Long-standing persistent5 (7%)3 (8%)2 (6%)NS
 – Atrial tachycardia36 (49%)19 (50%)17 (47%)NS
  – Typical atrial flutter23 (31%)12 (32%)11 (31%)NS
Symptoms of arrhythmia
 – Palpitation28 (38%)13 (34%)15 (42%)NS
 – Dyspnea47 (64%)24 (63%)23 (64%)NS
 – Peripheral oedema26 (35%)12 (32%)14 (39%)NS
Comorbidities
 – Arterial hypertension59 (80%)31 (82%)28 (78%)NS
 – Diabetes mellitus26 (35%)12 (32%)14 (39%)NS
 – Coronary artery disease14 (19%)5 (13%)9 (25%)NS
 – Stroke/transient ischaemic attack6 (8%)4 (11%)2 (6%)NS
CHA2DS2-VASc score3 (2; 4)3 (2; 4)3 (2; 4)NS
HAS-BLED score1 (0; 1)1 (0; 1)1 (0.5; 1)NS
Treatment
 – Amiodarone14 (19%)8 (21%)6 (17%)NS
 – Propafenone3 (4%)2 (5%)1 (3%)NS
 – Sotalol2 (3%)1 (3%)1 (3%)NS
 – Beta-blockers27 (36%)13 (34%)14 (38%)NS
 – Warfarin37 (50%)18 (47%)19 (53%)NS
 – Direct oral anticoagulants31 (42%)18 (47%)13 (36%)NS
 – Specific therapy for PH26 (35%)14 (37%)12 (33%)NS
Functional status
 – NYHA I000NS
 – NYHA II17 (23%)9 (24%)8 (22%)NS
 – NYHA III57 (77%)29 (76%)28 (78%)NS
 – NYHA IV000NS
 – 6-minute walking test (m)369 (280; 422)363 (280; 413)376 (300; 436)NS
EQ-VAS58 (40; 72)56 (34; 74)60 (42; 70)NS
Laboratory
 – NT-proBNP (pg/mL)1267 (732; 2317)903 (724; 1979)1587 (922; 3182)NS
 – Haemoglobin (g/L)138 (128; 148)145 (135; 148)131 (117; 147)NS
 – Creatinine (µmol/L)94 (80; 113)95 (81; 112)94 (73; 114)NS
Echocardiography
 – LV end-diastolic diameter in PLAX (mm)49 (44; 54)49 (45; 54)49 (44; 54)NS
 – LV ejection fraction (%)60 (55; 63)60 (55; 62)60 (56; 64)NS
 – LA indexed volume (mL/m2)41 (31; 50)39 (28; 51)43 (32; 50)NS
 – RA diameter in A4C (mm)53 (46; 59)51 (46; 59)54 (47; 59)NS
 – RV diameter in A4C (mm)48 (41; 53)49 (41; 52)48 (42; 56)NS
 – Tricuspid annular plane systolic excursion (mm)18 (14; 20)17 (14; 20)19 (14; 20)NS
 – Pulmonary artery systolic pressure (mmHg)69 (50; 84)72 (55; 87)64 (48; 82)NS
 – LA appendage emptying velocity (m/s)0.45 (0.34; 0.70)0.49 (0.38; 0.70)0.40 (0.30; 0.70)NS
Haemodynamics
 – RA mean pressure (mmHg)11 (6; 16)13 (8; 18)9 (5; 12)0.02
 – Pulmonary artery mean pressure (mmHg)46 (38; 55)47 (38; 54)45 (36; 55)NS
 – Pulmonary capillary wedge pressure (mmHg)11 (9; 15)12 (10; 19)11 (9; 13)NS
 – Cardiac index (L/min/m2)2.4 (2.0; 2.9)2.35 (2.0; 2.8)2.4 (2.0; 2.9)NS
All patientsLimited ablation groupExtended ablation groupP
n = 74n = 38n = 36
Age (years)71 (61; 75)70 (61; 75)71 (60; 74)NS
Males41 (55%)24 (63%)17 (47%)NS
Aetiology of PH
 – Idiopathic41 (55%)23 (61%)18 (50%)NS
 – Chronic thromboembolic22 (30%)10 (26%)12 (33%)NS
 – Lung disease/hypoxia11 (15%)5 (13%)6 (17%)NS
Index arrhythmia
 – Atrial fibrillation38 (51%)19 (50%)19 (53%)NS
  – Paroxysmal11 (15%)6 (16%)5 (14%)NS
  – Persistent22 (30%)10 (26%)12 (33%)NS
  – Long-standing persistent5 (7%)3 (8%)2 (6%)NS
 – Atrial tachycardia36 (49%)19 (50%)17 (47%)NS
  – Typical atrial flutter23 (31%)12 (32%)11 (31%)NS
Symptoms of arrhythmia
 – Palpitation28 (38%)13 (34%)15 (42%)NS
 – Dyspnea47 (64%)24 (63%)23 (64%)NS
 – Peripheral oedema26 (35%)12 (32%)14 (39%)NS
Comorbidities
 – Arterial hypertension59 (80%)31 (82%)28 (78%)NS
 – Diabetes mellitus26 (35%)12 (32%)14 (39%)NS
 – Coronary artery disease14 (19%)5 (13%)9 (25%)NS
 – Stroke/transient ischaemic attack6 (8%)4 (11%)2 (6%)NS
CHA2DS2-VASc score3 (2; 4)3 (2; 4)3 (2; 4)NS
HAS-BLED score1 (0; 1)1 (0; 1)1 (0.5; 1)NS
Treatment
 – Amiodarone14 (19%)8 (21%)6 (17%)NS
 – Propafenone3 (4%)2 (5%)1 (3%)NS
 – Sotalol2 (3%)1 (3%)1 (3%)NS
 – Beta-blockers27 (36%)13 (34%)14 (38%)NS
 – Warfarin37 (50%)18 (47%)19 (53%)NS
 – Direct oral anticoagulants31 (42%)18 (47%)13 (36%)NS
 – Specific therapy for PH26 (35%)14 (37%)12 (33%)NS
Functional status
 – NYHA I000NS
 – NYHA II17 (23%)9 (24%)8 (22%)NS
 – NYHA III57 (77%)29 (76%)28 (78%)NS
 – NYHA IV000NS
 – 6-minute walking test (m)369 (280; 422)363 (280; 413)376 (300; 436)NS
EQ-VAS58 (40; 72)56 (34; 74)60 (42; 70)NS
Laboratory
 – NT-proBNP (pg/mL)1267 (732; 2317)903 (724; 1979)1587 (922; 3182)NS
 – Haemoglobin (g/L)138 (128; 148)145 (135; 148)131 (117; 147)NS
 – Creatinine (µmol/L)94 (80; 113)95 (81; 112)94 (73; 114)NS
Echocardiography
 – LV end-diastolic diameter in PLAX (mm)49 (44; 54)49 (45; 54)49 (44; 54)NS
 – LV ejection fraction (%)60 (55; 63)60 (55; 62)60 (56; 64)NS
 – LA indexed volume (mL/m2)41 (31; 50)39 (28; 51)43 (32; 50)NS
 – RA diameter in A4C (mm)53 (46; 59)51 (46; 59)54 (47; 59)NS
 – RV diameter in A4C (mm)48 (41; 53)49 (41; 52)48 (42; 56)NS
 – Tricuspid annular plane systolic excursion (mm)18 (14; 20)17 (14; 20)19 (14; 20)NS
 – Pulmonary artery systolic pressure (mmHg)69 (50; 84)72 (55; 87)64 (48; 82)NS
 – LA appendage emptying velocity (m/s)0.45 (0.34; 0.70)0.49 (0.38; 0.70)0.40 (0.30; 0.70)NS
Haemodynamics
 – RA mean pressure (mmHg)11 (6; 16)13 (8; 18)9 (5; 12)0.02
 – Pulmonary artery mean pressure (mmHg)46 (38; 55)47 (38; 54)45 (36; 55)NS
 – Pulmonary capillary wedge pressure (mmHg)11 (9; 15)12 (10; 19)11 (9; 13)NS
 – Cardiac index (L/min/m2)2.4 (2.0; 2.9)2.35 (2.0; 2.8)2.4 (2.0; 2.9)NS

Data represent the number of cases (percentage) or median (interquartile range).

A4C, apical four-chamber view; EQ-VAS, European Quality of Life Group instrument self-report questionnaire visual analogue scale; NS, not significant; LA, left atrium; LV, left ventricle; PH, pulmonary hypertension; PLAX, parasternal long axis view; RA, right atrium; RV, right ventricle.

Table 1

Baseline characteristics

All patientsLimited ablation groupExtended ablation groupP
n = 74n = 38n = 36
Age (years)71 (61; 75)70 (61; 75)71 (60; 74)NS
Males41 (55%)24 (63%)17 (47%)NS
Aetiology of PH
 – Idiopathic41 (55%)23 (61%)18 (50%)NS
 – Chronic thromboembolic22 (30%)10 (26%)12 (33%)NS
 – Lung disease/hypoxia11 (15%)5 (13%)6 (17%)NS
Index arrhythmia
 – Atrial fibrillation38 (51%)19 (50%)19 (53%)NS
  – Paroxysmal11 (15%)6 (16%)5 (14%)NS
  – Persistent22 (30%)10 (26%)12 (33%)NS
  – Long-standing persistent5 (7%)3 (8%)2 (6%)NS
 – Atrial tachycardia36 (49%)19 (50%)17 (47%)NS
  – Typical atrial flutter23 (31%)12 (32%)11 (31%)NS
Symptoms of arrhythmia
 – Palpitation28 (38%)13 (34%)15 (42%)NS
 – Dyspnea47 (64%)24 (63%)23 (64%)NS
 – Peripheral oedema26 (35%)12 (32%)14 (39%)NS
Comorbidities
 – Arterial hypertension59 (80%)31 (82%)28 (78%)NS
 – Diabetes mellitus26 (35%)12 (32%)14 (39%)NS
 – Coronary artery disease14 (19%)5 (13%)9 (25%)NS
 – Stroke/transient ischaemic attack6 (8%)4 (11%)2 (6%)NS
CHA2DS2-VASc score3 (2; 4)3 (2; 4)3 (2; 4)NS
HAS-BLED score1 (0; 1)1 (0; 1)1 (0.5; 1)NS
Treatment
 – Amiodarone14 (19%)8 (21%)6 (17%)NS
 – Propafenone3 (4%)2 (5%)1 (3%)NS
 – Sotalol2 (3%)1 (3%)1 (3%)NS
 – Beta-blockers27 (36%)13 (34%)14 (38%)NS
 – Warfarin37 (50%)18 (47%)19 (53%)NS
 – Direct oral anticoagulants31 (42%)18 (47%)13 (36%)NS
 – Specific therapy for PH26 (35%)14 (37%)12 (33%)NS
Functional status
 – NYHA I000NS
 – NYHA II17 (23%)9 (24%)8 (22%)NS
 – NYHA III57 (77%)29 (76%)28 (78%)NS
 – NYHA IV000NS
 – 6-minute walking test (m)369 (280; 422)363 (280; 413)376 (300; 436)NS
EQ-VAS58 (40; 72)56 (34; 74)60 (42; 70)NS
Laboratory
 – NT-proBNP (pg/mL)1267 (732; 2317)903 (724; 1979)1587 (922; 3182)NS
 – Haemoglobin (g/L)138 (128; 148)145 (135; 148)131 (117; 147)NS
 – Creatinine (µmol/L)94 (80; 113)95 (81; 112)94 (73; 114)NS
Echocardiography
 – LV end-diastolic diameter in PLAX (mm)49 (44; 54)49 (45; 54)49 (44; 54)NS
 – LV ejection fraction (%)60 (55; 63)60 (55; 62)60 (56; 64)NS
 – LA indexed volume (mL/m2)41 (31; 50)39 (28; 51)43 (32; 50)NS
 – RA diameter in A4C (mm)53 (46; 59)51 (46; 59)54 (47; 59)NS
 – RV diameter in A4C (mm)48 (41; 53)49 (41; 52)48 (42; 56)NS
 – Tricuspid annular plane systolic excursion (mm)18 (14; 20)17 (14; 20)19 (14; 20)NS
 – Pulmonary artery systolic pressure (mmHg)69 (50; 84)72 (55; 87)64 (48; 82)NS
 – LA appendage emptying velocity (m/s)0.45 (0.34; 0.70)0.49 (0.38; 0.70)0.40 (0.30; 0.70)NS
Haemodynamics
 – RA mean pressure (mmHg)11 (6; 16)13 (8; 18)9 (5; 12)0.02
 – Pulmonary artery mean pressure (mmHg)46 (38; 55)47 (38; 54)45 (36; 55)NS
 – Pulmonary capillary wedge pressure (mmHg)11 (9; 15)12 (10; 19)11 (9; 13)NS
 – Cardiac index (L/min/m2)2.4 (2.0; 2.9)2.35 (2.0; 2.8)2.4 (2.0; 2.9)NS
All patientsLimited ablation groupExtended ablation groupP
n = 74n = 38n = 36
Age (years)71 (61; 75)70 (61; 75)71 (60; 74)NS
Males41 (55%)24 (63%)17 (47%)NS
Aetiology of PH
 – Idiopathic41 (55%)23 (61%)18 (50%)NS
 – Chronic thromboembolic22 (30%)10 (26%)12 (33%)NS
 – Lung disease/hypoxia11 (15%)5 (13%)6 (17%)NS
Index arrhythmia
 – Atrial fibrillation38 (51%)19 (50%)19 (53%)NS
  – Paroxysmal11 (15%)6 (16%)5 (14%)NS
  – Persistent22 (30%)10 (26%)12 (33%)NS
  – Long-standing persistent5 (7%)3 (8%)2 (6%)NS
 – Atrial tachycardia36 (49%)19 (50%)17 (47%)NS
  – Typical atrial flutter23 (31%)12 (32%)11 (31%)NS
Symptoms of arrhythmia
 – Palpitation28 (38%)13 (34%)15 (42%)NS
 – Dyspnea47 (64%)24 (63%)23 (64%)NS
 – Peripheral oedema26 (35%)12 (32%)14 (39%)NS
Comorbidities
 – Arterial hypertension59 (80%)31 (82%)28 (78%)NS
 – Diabetes mellitus26 (35%)12 (32%)14 (39%)NS
 – Coronary artery disease14 (19%)5 (13%)9 (25%)NS
 – Stroke/transient ischaemic attack6 (8%)4 (11%)2 (6%)NS
CHA2DS2-VASc score3 (2; 4)3 (2; 4)3 (2; 4)NS
HAS-BLED score1 (0; 1)1 (0; 1)1 (0.5; 1)NS
Treatment
 – Amiodarone14 (19%)8 (21%)6 (17%)NS
 – Propafenone3 (4%)2 (5%)1 (3%)NS
 – Sotalol2 (3%)1 (3%)1 (3%)NS
 – Beta-blockers27 (36%)13 (34%)14 (38%)NS
 – Warfarin37 (50%)18 (47%)19 (53%)NS
 – Direct oral anticoagulants31 (42%)18 (47%)13 (36%)NS
 – Specific therapy for PH26 (35%)14 (37%)12 (33%)NS
Functional status
 – NYHA I000NS
 – NYHA II17 (23%)9 (24%)8 (22%)NS
 – NYHA III57 (77%)29 (76%)28 (78%)NS
 – NYHA IV000NS
 – 6-minute walking test (m)369 (280; 422)363 (280; 413)376 (300; 436)NS
EQ-VAS58 (40; 72)56 (34; 74)60 (42; 70)NS
Laboratory
 – NT-proBNP (pg/mL)1267 (732; 2317)903 (724; 1979)1587 (922; 3182)NS
 – Haemoglobin (g/L)138 (128; 148)145 (135; 148)131 (117; 147)NS
 – Creatinine (µmol/L)94 (80; 113)95 (81; 112)94 (73; 114)NS
Echocardiography
 – LV end-diastolic diameter in PLAX (mm)49 (44; 54)49 (45; 54)49 (44; 54)NS
 – LV ejection fraction (%)60 (55; 63)60 (55; 62)60 (56; 64)NS
 – LA indexed volume (mL/m2)41 (31; 50)39 (28; 51)43 (32; 50)NS
 – RA diameter in A4C (mm)53 (46; 59)51 (46; 59)54 (47; 59)NS
 – RV diameter in A4C (mm)48 (41; 53)49 (41; 52)48 (42; 56)NS
 – Tricuspid annular plane systolic excursion (mm)18 (14; 20)17 (14; 20)19 (14; 20)NS
 – Pulmonary artery systolic pressure (mmHg)69 (50; 84)72 (55; 87)64 (48; 82)NS
 – LA appendage emptying velocity (m/s)0.45 (0.34; 0.70)0.49 (0.38; 0.70)0.40 (0.30; 0.70)NS
Haemodynamics
 – RA mean pressure (mmHg)11 (6; 16)13 (8; 18)9 (5; 12)0.02
 – Pulmonary artery mean pressure (mmHg)46 (38; 55)47 (38; 54)45 (36; 55)NS
 – Pulmonary capillary wedge pressure (mmHg)11 (9; 15)12 (10; 19)11 (9; 13)NS
 – Cardiac index (L/min/m2)2.4 (2.0; 2.9)2.35 (2.0; 2.8)2.4 (2.0; 2.9)NS

Data represent the number of cases (percentage) or median (interquartile range).

A4C, apical four-chamber view; EQ-VAS, European Quality of Life Group instrument self-report questionnaire visual analogue scale; NS, not significant; LA, left atrium; LV, left ventricle; PH, pulmonary hypertension; PLAX, parasternal long axis view; RA, right atrium; RV, right ventricle.

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