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Effect of Insulin Resistance on Recurrence after Radiofrequency Catheter Ablation in Patients with Atrial Fibrillation

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单位: [1]Graduate School of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China [2]Department of Cardiology, China-Japan Friendship Hospital, No.2 East Yinghua Road, Beijing 100029, Chaoyang District, China [3]Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Erqi District, Zhengzhou 450052, Henan, China [4]Department of Cardiology, Peking University China-Japan Friendship School of Clinical Medicine, Beijing 100029, China [5]Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 100029 Beijing, China
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关键词: Atrial fibrillation Insulin resistance Radiofrequency ablation Recurrence

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Background Whether there are many risk factors for recurrence of atrial fibrillation (AF) after ablation is unclear. The aim of this study was to investigate the relationship between insulin resistance (IR) and AF recurrence in patients without diabetes who underwent catheter ablation. Methods This retrospective study included patients who underwent AF ablation between 2018 and 2019 at the First Affiliated Hospital of Zhengzhou University. Homeostasis model assessment of insulin resistance (HOMA-IR) was calculated, and a value of >= 2.69 was defined as IR. The patients were divided into two groups (group 1 HOMA-IR < 2.69, n = 163; group 2 HOMA-IR >= 2.69, n = 69). AF recurrence was defined as the occurrence of atrial arrhythmias of more than 30 s after the first 3 months. Univariate and multivariable Cox regression models were used to analyse the risk of AF recurrence. Results Overall, 232 patients were enrolled (mean age, 59.9 +/- 10.2 years old; female, 37.5%; paroxysmal AF, 71.6%). We found that dyslipidaemia, antiarrhythmic drug use, fasting blood glucose and fasting insulin were significantly higher in the IR group (P < 0.05). During the follow-up 1 year after ablation, 62 (26.7%) patients experienced AF recurrence. After adjusting for traditional risk factors, multivariable analysis showed that the HOMA-IR value (HR 1.259, 95% CI 1.086-1.460, P = 0.002) and left atrial diameter (LAD; HR 1.043, 95% CI 1.005-1.083, P = 0.026) were independently associated with AF recurrence. Conclusions The present results provide evidence that IR patients are more likely to experience AF recurrence. Improving IR status may be a potential target for reducing the postoperative recurrence rate.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 心脏和心血管系统 3 区 药学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 药学 4 区 心脏和心血管系统
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出版当年[2020]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 PHARMACOLOGY & PHARMACY
最新[2024]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 PHARMACOLOGY & PHARMACY

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第一作者单位: [1]Graduate School of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China [2]Department of Cardiology, China-Japan Friendship Hospital, No.2 East Yinghua Road, Beijing 100029, Chaoyang District, China
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