. | All patients . | Limited ablation group . | Extended ablation group . | P . |
---|---|---|---|---|
n = 74 . | n = 38 . | n = 36 . | ||
Age (years) | 71 (61; 75) | 70 (61; 75) | 71 (60; 74) | NS |
Males | 41 (55%) | 24 (63%) | 17 (47%) | NS |
Aetiology of PH | ||||
– Idiopathic | 41 (55%) | 23 (61%) | 18 (50%) | NS |
– Chronic thromboembolic | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Lung disease/hypoxia | 11 (15%) | 5 (13%) | 6 (17%) | NS |
Index arrhythmia | ||||
– Atrial fibrillation | 38 (51%) | 19 (50%) | 19 (53%) | NS |
– Paroxysmal | 11 (15%) | 6 (16%) | 5 (14%) | NS |
– Persistent | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Long-standing persistent | 5 (7%) | 3 (8%) | 2 (6%) | NS |
– Atrial tachycardia | 36 (49%) | 19 (50%) | 17 (47%) | NS |
– Typical atrial flutter | 23 (31%) | 12 (32%) | 11 (31%) | NS |
Symptoms of arrhythmia | ||||
– Palpitation | 28 (38%) | 13 (34%) | 15 (42%) | NS |
– Dyspnea | 47 (64%) | 24 (63%) | 23 (64%) | NS |
– Peripheral oedema | 26 (35%) | 12 (32%) | 14 (39%) | NS |
Comorbidities | ||||
– Arterial hypertension | 59 (80%) | 31 (82%) | 28 (78%) | NS |
– Diabetes mellitus | 26 (35%) | 12 (32%) | 14 (39%) | NS |
– Coronary artery disease | 14 (19%) | 5 (13%) | 9 (25%) | NS |
– Stroke/transient ischaemic attack | 6 (8%) | 4 (11%) | 2 (6%) | NS |
CHA2DS2-VASc score | 3 (2; 4) | 3 (2; 4) | 3 (2; 4) | NS |
HAS-BLED score | 1 (0; 1) | 1 (0; 1) | 1 (0.5; 1) | NS |
Treatment | ||||
– Amiodarone | 14 (19%) | 8 (21%) | 6 (17%) | NS |
– Propafenone | 3 (4%) | 2 (5%) | 1 (3%) | NS |
– Sotalol | 2 (3%) | 1 (3%) | 1 (3%) | NS |
– Beta-blockers | 27 (36%) | 13 (34%) | 14 (38%) | NS |
– Warfarin | 37 (50%) | 18 (47%) | 19 (53%) | NS |
– Direct oral anticoagulants | 31 (42%) | 18 (47%) | 13 (36%) | NS |
– Specific therapy for PH | 26 (35%) | 14 (37%) | 12 (33%) | NS |
Functional status | ||||
– NYHA I | 0 | 0 | 0 | NS |
– NYHA II | 17 (23%) | 9 (24%) | 8 (22%) | NS |
– NYHA III | 57 (77%) | 29 (76%) | 28 (78%) | NS |
– NYHA IV | 0 | 0 | 0 | NS |
– 6-minute walking test (m) | 369 (280; 422) | 363 (280; 413) | 376 (300; 436) | NS |
EQ-VAS | 58 (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 patients . | Limited ablation group . | Extended ablation group . | P . |
---|---|---|---|---|
n = 74 . | n = 38 . | n = 36 . | ||
Age (years) | 71 (61; 75) | 70 (61; 75) | 71 (60; 74) | NS |
Males | 41 (55%) | 24 (63%) | 17 (47%) | NS |
Aetiology of PH | ||||
– Idiopathic | 41 (55%) | 23 (61%) | 18 (50%) | NS |
– Chronic thromboembolic | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Lung disease/hypoxia | 11 (15%) | 5 (13%) | 6 (17%) | NS |
Index arrhythmia | ||||
– Atrial fibrillation | 38 (51%) | 19 (50%) | 19 (53%) | NS |
– Paroxysmal | 11 (15%) | 6 (16%) | 5 (14%) | NS |
– Persistent | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Long-standing persistent | 5 (7%) | 3 (8%) | 2 (6%) | NS |
– Atrial tachycardia | 36 (49%) | 19 (50%) | 17 (47%) | NS |
– Typical atrial flutter | 23 (31%) | 12 (32%) | 11 (31%) | NS |
Symptoms of arrhythmia | ||||
– Palpitation | 28 (38%) | 13 (34%) | 15 (42%) | NS |
– Dyspnea | 47 (64%) | 24 (63%) | 23 (64%) | NS |
– Peripheral oedema | 26 (35%) | 12 (32%) | 14 (39%) | NS |
Comorbidities | ||||
– Arterial hypertension | 59 (80%) | 31 (82%) | 28 (78%) | NS |
– Diabetes mellitus | 26 (35%) | 12 (32%) | 14 (39%) | NS |
– Coronary artery disease | 14 (19%) | 5 (13%) | 9 (25%) | NS |
– Stroke/transient ischaemic attack | 6 (8%) | 4 (11%) | 2 (6%) | NS |
CHA2DS2-VASc score | 3 (2; 4) | 3 (2; 4) | 3 (2; 4) | NS |
HAS-BLED score | 1 (0; 1) | 1 (0; 1) | 1 (0.5; 1) | NS |
Treatment | ||||
– Amiodarone | 14 (19%) | 8 (21%) | 6 (17%) | NS |
– Propafenone | 3 (4%) | 2 (5%) | 1 (3%) | NS |
– Sotalol | 2 (3%) | 1 (3%) | 1 (3%) | NS |
– Beta-blockers | 27 (36%) | 13 (34%) | 14 (38%) | NS |
– Warfarin | 37 (50%) | 18 (47%) | 19 (53%) | NS |
– Direct oral anticoagulants | 31 (42%) | 18 (47%) | 13 (36%) | NS |
– Specific therapy for PH | 26 (35%) | 14 (37%) | 12 (33%) | NS |
Functional status | ||||
– NYHA I | 0 | 0 | 0 | NS |
– NYHA II | 17 (23%) | 9 (24%) | 8 (22%) | NS |
– NYHA III | 57 (77%) | 29 (76%) | 28 (78%) | NS |
– NYHA IV | 0 | 0 | 0 | NS |
– 6-minute walking test (m) | 369 (280; 422) | 363 (280; 413) | 376 (300; 436) | NS |
EQ-VAS | 58 (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.
. | All patients . | Limited ablation group . | Extended ablation group . | P . |
---|---|---|---|---|
n = 74 . | n = 38 . | n = 36 . | ||
Age (years) | 71 (61; 75) | 70 (61; 75) | 71 (60; 74) | NS |
Males | 41 (55%) | 24 (63%) | 17 (47%) | NS |
Aetiology of PH | ||||
– Idiopathic | 41 (55%) | 23 (61%) | 18 (50%) | NS |
– Chronic thromboembolic | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Lung disease/hypoxia | 11 (15%) | 5 (13%) | 6 (17%) | NS |
Index arrhythmia | ||||
– Atrial fibrillation | 38 (51%) | 19 (50%) | 19 (53%) | NS |
– Paroxysmal | 11 (15%) | 6 (16%) | 5 (14%) | NS |
– Persistent | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Long-standing persistent | 5 (7%) | 3 (8%) | 2 (6%) | NS |
– Atrial tachycardia | 36 (49%) | 19 (50%) | 17 (47%) | NS |
– Typical atrial flutter | 23 (31%) | 12 (32%) | 11 (31%) | NS |
Symptoms of arrhythmia | ||||
– Palpitation | 28 (38%) | 13 (34%) | 15 (42%) | NS |
– Dyspnea | 47 (64%) | 24 (63%) | 23 (64%) | NS |
– Peripheral oedema | 26 (35%) | 12 (32%) | 14 (39%) | NS |
Comorbidities | ||||
– Arterial hypertension | 59 (80%) | 31 (82%) | 28 (78%) | NS |
– Diabetes mellitus | 26 (35%) | 12 (32%) | 14 (39%) | NS |
– Coronary artery disease | 14 (19%) | 5 (13%) | 9 (25%) | NS |
– Stroke/transient ischaemic attack | 6 (8%) | 4 (11%) | 2 (6%) | NS |
CHA2DS2-VASc score | 3 (2; 4) | 3 (2; 4) | 3 (2; 4) | NS |
HAS-BLED score | 1 (0; 1) | 1 (0; 1) | 1 (0.5; 1) | NS |
Treatment | ||||
– Amiodarone | 14 (19%) | 8 (21%) | 6 (17%) | NS |
– Propafenone | 3 (4%) | 2 (5%) | 1 (3%) | NS |
– Sotalol | 2 (3%) | 1 (3%) | 1 (3%) | NS |
– Beta-blockers | 27 (36%) | 13 (34%) | 14 (38%) | NS |
– Warfarin | 37 (50%) | 18 (47%) | 19 (53%) | NS |
– Direct oral anticoagulants | 31 (42%) | 18 (47%) | 13 (36%) | NS |
– Specific therapy for PH | 26 (35%) | 14 (37%) | 12 (33%) | NS |
Functional status | ||||
– NYHA I | 0 | 0 | 0 | NS |
– NYHA II | 17 (23%) | 9 (24%) | 8 (22%) | NS |
– NYHA III | 57 (77%) | 29 (76%) | 28 (78%) | NS |
– NYHA IV | 0 | 0 | 0 | NS |
– 6-minute walking test (m) | 369 (280; 422) | 363 (280; 413) | 376 (300; 436) | NS |
EQ-VAS | 58 (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 patients . | Limited ablation group . | Extended ablation group . | P . |
---|---|---|---|---|
n = 74 . | n = 38 . | n = 36 . | ||
Age (years) | 71 (61; 75) | 70 (61; 75) | 71 (60; 74) | NS |
Males | 41 (55%) | 24 (63%) | 17 (47%) | NS |
Aetiology of PH | ||||
– Idiopathic | 41 (55%) | 23 (61%) | 18 (50%) | NS |
– Chronic thromboembolic | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Lung disease/hypoxia | 11 (15%) | 5 (13%) | 6 (17%) | NS |
Index arrhythmia | ||||
– Atrial fibrillation | 38 (51%) | 19 (50%) | 19 (53%) | NS |
– Paroxysmal | 11 (15%) | 6 (16%) | 5 (14%) | NS |
– Persistent | 22 (30%) | 10 (26%) | 12 (33%) | NS |
– Long-standing persistent | 5 (7%) | 3 (8%) | 2 (6%) | NS |
– Atrial tachycardia | 36 (49%) | 19 (50%) | 17 (47%) | NS |
– Typical atrial flutter | 23 (31%) | 12 (32%) | 11 (31%) | NS |
Symptoms of arrhythmia | ||||
– Palpitation | 28 (38%) | 13 (34%) | 15 (42%) | NS |
– Dyspnea | 47 (64%) | 24 (63%) | 23 (64%) | NS |
– Peripheral oedema | 26 (35%) | 12 (32%) | 14 (39%) | NS |
Comorbidities | ||||
– Arterial hypertension | 59 (80%) | 31 (82%) | 28 (78%) | NS |
– Diabetes mellitus | 26 (35%) | 12 (32%) | 14 (39%) | NS |
– Coronary artery disease | 14 (19%) | 5 (13%) | 9 (25%) | NS |
– Stroke/transient ischaemic attack | 6 (8%) | 4 (11%) | 2 (6%) | NS |
CHA2DS2-VASc score | 3 (2; 4) | 3 (2; 4) | 3 (2; 4) | NS |
HAS-BLED score | 1 (0; 1) | 1 (0; 1) | 1 (0.5; 1) | NS |
Treatment | ||||
– Amiodarone | 14 (19%) | 8 (21%) | 6 (17%) | NS |
– Propafenone | 3 (4%) | 2 (5%) | 1 (3%) | NS |
– Sotalol | 2 (3%) | 1 (3%) | 1 (3%) | NS |
– Beta-blockers | 27 (36%) | 13 (34%) | 14 (38%) | NS |
– Warfarin | 37 (50%) | 18 (47%) | 19 (53%) | NS |
– Direct oral anticoagulants | 31 (42%) | 18 (47%) | 13 (36%) | NS |
– Specific therapy for PH | 26 (35%) | 14 (37%) | 12 (33%) | NS |
Functional status | ||||
– NYHA I | 0 | 0 | 0 | NS |
– NYHA II | 17 (23%) | 9 (24%) | 8 (22%) | NS |
– NYHA III | 57 (77%) | 29 (76%) | 28 (78%) | NS |
– NYHA IV | 0 | 0 | 0 | NS |
– 6-minute walking test (m) | 369 (280; 422) | 363 (280; 413) | 376 (300; 436) | NS |
EQ-VAS | 58 (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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