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- W4380785935 abstract "Background: Cardiac tamponade is a potentially fatal complication of catheter ablation for atrial fibrillation (AF). The risk of cardiac tamponade during AF ablation in underweight patients has never been investigated. This study aimed to evaluate the impact of body mass index (BMI) on the prediction of cardiac tamponade during AF ablation. Methods: Patients who underwent catheter ablation for AF between April 2016 and March 2018 were analyzed using a Japanese nationwide claims database, the Japanese Registry of All Cardiac and Vascular Diseases and the Diagnosis Procedure Combination (JROAD-DPC). Mixed-effects multivariable logistic regression analysis was performed to investigate the association between BMI and cardiac tamponade. Results: A total of 59,807 hospitalizations (median age: 67 [60-73], 29% women) with catheter ablation for AF were analyzed. Cardiac tamponade occurred in 657 patients (1.1%). Multivariable analysis revealed that being underweight (BMI <18.5) was associated with an increased risk of cardiac tamponade (odds ratio [OR] 1.46, 95% confidence interval [CI] 1.05-2.02) when compared with having a normal weight (BMI 18.5-<25) (Figure). Other predictors of an increased risk of cardiac tamponade were age >75 years, female sex, history of heart failure, hypertension, diabetes, and dialysis treatment. In a stratified analysis by ablation technique, being underweight was associated with an increased risk of cardiac tamponade in the radiofrequency ablation group, but it was not a significant predictor in the cryoballoon ablation group. Conclusions: In this analysis of a large nationwide database of patients with AF who underwent ablation, being underweight was independently associated with an increased risk of cardiac tamponade during AF ablation. Clinicians should consider the higher risk of cardiac tamponade in the underweight population and take appropriate measures to reduce this risk." @default.
- W4380785935 created "2023-06-16" @default.
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- W4380785935 date "2022-11-08" @default.
- W4380785935 modified "2023-09-24" @default.
- W4380785935 title "Abstract 14329: Impact of Low Body Mass Index on Cardiac Tamponade During Catheter Ablation for Atrial Fibrillation" @default.
- W4380785935 doi "https://doi.org/10.1161/circ.146.suppl_1.14329" @default.
- W4380785935 hasPublicationYear "2022" @default.
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