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http://hdl.handle.net/2445/200203
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DC Field | Value | Language |
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dc.contributor.author | Bisbal, Felipe | - |
dc.contributor.author | Abugattas, Juan Pablo | - |
dc.contributor.author | Trotta, Omar | - |
dc.contributor.author | González Ferrer, Juan José | - |
dc.contributor.author | Saurí Ortiz, Assumpció | - |
dc.contributor.author | Arias, Miguel Ángel | - |
dc.contributor.author | Subirana Cachinero, Isaac | - |
dc.contributor.author | Duytshaever, Mattias | - |
dc.contributor.author | Pooter, Jan de | - |
dc.contributor.author | Sarrias, Axel | - |
dc.contributor.author | Adeliño, Raquel | - |
dc.contributor.author | Alarcón, Francisco | - |
dc.contributor.author | Mont Girbau, Lluís | - |
dc.contributor.author | Pérez Villacastín, Julián | - |
dc.contributor.author | Osca Asensi, Joaquin | - |
dc.contributor.author | Villuendas, Roger | - |
dc.contributor.author | Pachón Iglesias, Marta | - |
dc.contributor.author | El Haddad, Milad | - |
dc.contributor.author | Bayés Genís, Antoni | - |
dc.contributor.author | Greef, Yves de | - |
dc.date.accessioned | 2023-07-03T10:36:05Z | - |
dc.date.available | 2023-07-03T10:36:05Z | - |
dc.date.issued | 2022-08-09 | - |
dc.identifier.issn | 2666-5018 | - |
dc.identifier.uri | http://hdl.handle.net/2445/200203 | - |
dc.description.abstract | Atrial fibrillation (AF) ablation strategy is associated with a non-negligible risk of complications and often requires repeat procedures (AF ablation track), implying repetitive exposure to procedural risk.The purpose of this study was to develop and validate a model to estimate individualized cumulative risk of complications in patients undergoing the AF ablation track (Atrial Fibrillation TRAck Complication risK [AF-TRACK] calculator).The model was derived from a multicenter cohort including 3762 AF ablation procedures in 2943 patients. A first regression model was fitted to predict the propensity for repeat ablation. The AF-TRACK calculator computed the risk of AF ablation track complications, considering the propensity for repeat ablation. Internal (cross-validation) and external (independent cohort) validation were assessed for discrimination capacity (area under the curve [AUC]) and goodness of fit (Hosmer-Lemeshow [HL] test).Complications (N = 111) occurred in 3.7% of patients (2.9% of procedures). Predictors included female sex, heart failure, sleep apnea syndrome, and repeat procedures. The model showed fair discrimination capacity to predict complications (AUC 0.61 [0.55-0.67]) and likelihood of repeat procedure (AUC 0.62 [0.60-0.64]), with good calibration (HL χ2 12.5; P = .13). The model maintained adequate discrimination capacity (AUC 0.67 [0.57-0.77]) and calibration (HL χ2 5.6; P = .23) in the external validation cohort. The validated model was used to create the Web-based AF-TRACK calculator.The proposed risk model provides individualized estimates of the cumulative risk of complications of undergoing the AF ablation track. The AF-TRACK calculator is a validated, easy-to-use, Web-based clinical tool to calibrate the risk-to-benefit ratio of this treatment strategy.© 2022 Heart Rhythm Society. Published by Elsevier Inc. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Heart Rhythm Society | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.hroo.2022.07.013 | - |
dc.relation.ispartof | Heart Rhythm O2, 2022, vol. 3, num. 6, p. 656-664 | - |
dc.relation.uri | https://doi.org/10.1016/j.hroo.2022.07.013 | - |
dc.rights | cc by (c) Bisbal, Felipe et al, 2022 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.source | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) | - |
dc.subject.classification | Arrítmia | - |
dc.subject.classification | Avaluació del risc | - |
dc.subject.other | Arrhythmia | - |
dc.subject.other | Risk assessment | - |
dc.title | Personalized assessment of the cumulative complication risk of the atrial fibrillation ablation track: The AF-TRACK calculator | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2023-06-22T09:51:37Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.idimarina | 9336679 | - |
dc.identifier.pmid | 36589911 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
Files in This Item:
File | Description | Size | Format | |
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Personalized assessment of the cumulative complication risk of the atrial fibrillation ablation track_HeartRythm.pdf | 943.77 kB | Adobe PDF | View/Open |
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