Association between mental health status and post-ablation recurrence in elderly atrial fibrillation patients
10.20039/j.cnki.1007-3949.2024.12.006
- VernacularTitle:心理健康状况与老年心房颤动患者导管消融术后复发的关系
- Author:
Zhaoxu JIA
1
;
Cong YUAN
;
Chao JIANG
;
Xin DU
;
Jianzeng DONG
;
Changsheng MA
Author Information
1. 首都医科大学附属北京安贞医院心力衰竭和心肌病中心,北京市 100029
- Publication Type:Journal Article
- Keywords:
atrial fibrillation;
mental health;
elderly;
catheter ablation;
recurrence
- From:
Chinese Journal of Arteriosclerosis
2024;32(12):1057-1061
- CountryChina
- Language:Chinese
-
Abstract:
Aim To explore the association between mental health status and post-ablation recurrence in elderly atrial fibrillation patients.Methods Consecutive patients aged≥60 years who underwent catheter ablation for atrial fi-brillation in Beijing Anzhen Hospital were enrolled,baseline clinical characteristics,comorbidities and treatment were col-lected.Five item mental health inventory(MHI-5)was used to evaluate the mental health status,and 76 points were taken as the cut-off value.Each patient was followed up at 3,6 and 12 months after ablation to assess atrial fibrillation recurrence,mental health status and other adverse events.Multivariate Logistic regression analysis was conducted to ex-amine the association between mental health status and the risk of atrial fibrillation recurrence.Results A total of 238 elderly patients with atrial fibrillation were enrolled,including 58 patients in the MHI-5≤76 points group and 180 patients in the MHI-5＞76 points group.During 12 months follow-up,73 patients(30.7％)developed atrial fibrillation recur-rence,and the recurrence rate in the MHI-5≤76 points group was significantly higher than that in the MHI-5＞76 points group[58.6％(34/58)vs.21.7％(39/180),P＜0.001].Multivariate Logistic analysis showed that after adjusting for demographic data and clinical factors,MHI-5≤76 points was significantly associated with a higher risk of atrial fibrillation recurrence after catheter ablation(OR=6.13,95％CI:3.08～12.24,P＜0.001).Conclusion Poor mental health status is significantly associated with higher post-ablation recurrence in elderly atrial fibrillation patients.
