Malnutrition and risks of atrial fibrillation recurrence after catheter ablation
Issued Date
2024-01-01
Resource Type
ISSN
18804276
eISSN
18832148
Scopus ID
2-s2.0-85210734367
Journal Title
Journal of Arrhythmia
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Arrhythmia (2024)
Suggested Citation
Wattanachayakul P., Srikulmontri T., Prasitsumrit V., Suenghataiphorn T., Danpanichkul P., Kewcharoen J., Charoenngam N., Mainigi S. Malnutrition and risks of atrial fibrillation recurrence after catheter ablation. Journal of Arrhythmia (2024). doi:10.1002/joa3.13196 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/102318
Title
Malnutrition and risks of atrial fibrillation recurrence after catheter ablation
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Recent data showed an association between malnutrition and increased all-cause mortality and thromboembolic risk in patients with atrial fibrillation (AF). However, the impact of malnutrition on the clinical outcomes for patients undergoing catheter ablation for AF is still debated. Our study aimed to examine this relationship using all existing available data. Methods: We conducted a systematic review of MEDLINE and EMBASE databases from inception to April 2024, analyzing the association between malnutrition, assessed by the Geriatric Nutritional Risk Index (GNRI), and the risk of AF recurrence in patients who underwent catheter ablation for AF, compared to those without malnutrition. Relative Risk (RR) or hazard ratio (HR) and 95% CIs were retrieved from each study and combined using the generic inverse variance method. Results: We included 3 cohort studies with 1697 participants undergoing AF ablation (10.9%) who had malnutrition indicated by GNRI score below 98. Patients with malnutrition had a higher risk of AF recurrence following catheter ablation for AF compared to those without malnutrition (Pooled RR = 2.74, 95% CI 1.36–5.51, I2 = 67%, p =.005). Conclusions: Our pooled analysis indicates that malnourished patients undergoing catheter ablation for AF have an increased risk of AF recurrence compared to non-malnourished patients.