Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation
Abstract Background Intracardiac catheter ablation for atrial fibrillation with pulmonary vein isolation may result in Takotsubo syndrome (TS), but the frequency, predisposing factors (age, sex, mental health disorders), and outcomes are currently unknown. This study sought to assess the frequency,...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-06-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | https://doi.org/10.1002/joa3.12856 |
| _version_ | 1797804546015100928 |
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| author | Neha Sinha Zizhong Tian Shouhao Zhou Neal J. Thomas Conrad Krawiec |
| author_facet | Neha Sinha Zizhong Tian Shouhao Zhou Neal J. Thomas Conrad Krawiec |
| author_sort | Neha Sinha |
| collection | DOAJ |
| description | Abstract Background Intracardiac catheter ablation for atrial fibrillation with pulmonary vein isolation may result in Takotsubo syndrome (TS), but the frequency, predisposing factors (age, sex, mental health disorders), and outcomes are currently unknown. This study sought to assess the frequency, predisposing factors, and outcomes of subjects who underwent intracardiac catheter ablation for atrial fibrillation with pulmonary vein isolation and were diagnosed with TS. Methods This was a retrospective observational cohort study utilizing TriNetX® electronic health record (EHR) data. We included subjects aged older than 18 years who underwent intracardiac catheter ablation for atrial fibrillation with pulmonary vein isolation. The study population was divided into two groups (no TS diagnostic code presence and TS diagnostic code presence). We analyzed the distributions of age, sex, race, diagnostic codes, common terminology procedures (CPT), and vasoactive medication codes and examined mortality rate within 30 days. Results We included 69,116 subjects. Of these, 27 (0.04%) had a TS diagnostic code, the cohort was comprised mostly of females [17 (63.0%)], and 1 (3.7%) death within 30 days was reported. There were no significant differences in age and frequency of mental health disorders between those patients in TS and non‐TS cohorts. Adjusting for age, sex, race, ethnicity, patient regionality, and mental health disorder diagnostic code, those patients who developed TS had a significantly higher odds of dying in 30 days after catheter ablation compared to those without TS (OR = 15.97, 95% CI: 2.10–121.55, p = .007). Conclusions Approximately 0.04% of subjects who underwent intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation had a subsequent diagnostic code of TS. Further study is needed to determine whether there are predisposing factors associated with the development of TS in subjects who undergo catheter ablation of atrial fibrillation by pulmonary vein isolation. |
| first_indexed | 2024-03-13T05:37:45Z |
| format | Article |
| id | doaj.art-a45e0c1e560f4302926f37dbb3b26acb |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-03-13T05:37:45Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-a45e0c1e560f4302926f37dbb3b26acb2023-06-14T05:25:21ZengWileyJournal of Arrhythmia1880-42761883-21482023-06-0139335936510.1002/joa3.12856Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillationNeha Sinha0Zizhong Tian1Shouhao Zhou2Neal J. Thomas3Conrad Krawiec4Pediatric Critical Care Medicine, Department of Pediatrics Penn State Hershey Children's Hospital Hershey Pennsylvania USADivision of Biostatistics and Bioinformatics, Department of Public Health Sciences Pennsylvania State University College of Medicine Hershey Pennsylvania USADivision of Biostatistics and Bioinformatics, Department of Public Health Sciences Pennsylvania State University College of Medicine Hershey Pennsylvania USAPediatric Critical Care Medicine, Department of Pediatrics Penn State Hershey Children's Hospital Hershey Pennsylvania USAPediatric Critical Care Medicine, Department of Pediatrics Penn State Hershey Children's Hospital Hershey Pennsylvania USAAbstract Background Intracardiac catheter ablation for atrial fibrillation with pulmonary vein isolation may result in Takotsubo syndrome (TS), but the frequency, predisposing factors (age, sex, mental health disorders), and outcomes are currently unknown. This study sought to assess the frequency, predisposing factors, and outcomes of subjects who underwent intracardiac catheter ablation for atrial fibrillation with pulmonary vein isolation and were diagnosed with TS. Methods This was a retrospective observational cohort study utilizing TriNetX® electronic health record (EHR) data. We included subjects aged older than 18 years who underwent intracardiac catheter ablation for atrial fibrillation with pulmonary vein isolation. The study population was divided into two groups (no TS diagnostic code presence and TS diagnostic code presence). We analyzed the distributions of age, sex, race, diagnostic codes, common terminology procedures (CPT), and vasoactive medication codes and examined mortality rate within 30 days. Results We included 69,116 subjects. Of these, 27 (0.04%) had a TS diagnostic code, the cohort was comprised mostly of females [17 (63.0%)], and 1 (3.7%) death within 30 days was reported. There were no significant differences in age and frequency of mental health disorders between those patients in TS and non‐TS cohorts. Adjusting for age, sex, race, ethnicity, patient regionality, and mental health disorder diagnostic code, those patients who developed TS had a significantly higher odds of dying in 30 days after catheter ablation compared to those without TS (OR = 15.97, 95% CI: 2.10–121.55, p = .007). Conclusions Approximately 0.04% of subjects who underwent intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation had a subsequent diagnostic code of TS. Further study is needed to determine whether there are predisposing factors associated with the development of TS in subjects who undergo catheter ablation of atrial fibrillation by pulmonary vein isolation.https://doi.org/10.1002/joa3.12856atrial fibrillationstress‐induced cardiomyopathyTakotsubo syndrome |
| spellingShingle | Neha Sinha Zizhong Tian Shouhao Zhou Neal J. Thomas Conrad Krawiec Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation Journal of Arrhythmia atrial fibrillation stress‐induced cardiomyopathy Takotsubo syndrome |
| title | Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation |
| title_full | Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation |
| title_fullStr | Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation |
| title_full_unstemmed | Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation |
| title_short | Multicenter retrospective database evaluation of Takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation |
| title_sort | multicenter retrospective database evaluation of takotsubo syndrome in subjects undergoing catheter ablation for atrial fibrillation |
| topic | atrial fibrillation stress‐induced cardiomyopathy Takotsubo syndrome |
| url | https://doi.org/10.1002/joa3.12856 |
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