Impact of Low Body Mass Index on Cardiac Tamponade During Catheter Ablation for Atrial Fibrillation
Impact of Low Body Mass Index on Cardiac Tamponade During Catheter Ablation for Atrial Fibrillation
复制标题
DOI：
10.1016/j.jacep.2022.08.025
复制
发表时间：
2023-02-27
影响因子：
7
通讯作者：
Yamane，Teiichi
中科院分区：
文献类型：
--
作者：
Tonegawa-Kuji，Reina;Nakai，Michikazu;Yamane，Teiichi
BackgroundCardiac Pillade is a potentially fatal complication of catheter ablation for atrial fibrillation（AF）.ObjectivesThis study aims to evaluate impact of body mass index（BMI）on cardiac Pillade during AF ablation.MethodsPatients who performed catheter ablation for AF between April 1，2016 and March 31，2018 was analyzed using a Japanese national claims database.进行混合效应多变量Poisson回归分析，以探讨BMI和心脏压塞之间的关联。ResultsA共59,789例（年龄65.6 ± 10.4岁，29%女性）因房颤导管消融住院进行了分析。647例患者（1.1%）发生心包填塞。多变量分析显示，与正常体重（BMI ≥ 18.5且<25 kg/m2）相比，体重不足（BMI <18.5 kg/m2）与心脏压塞风险增加相关（相对风险[RR]：1.42; 95% CI：1.03-1.95）。与心包填塞风险增加相关的其他特征包括年龄≥75岁、女性、心力衰竭、高血压、糖尿病和透析治疗史。ConclusionsIn this analysis of a large national database of patients with AF who undergoed ablation，体重过轻与AF消融术期间心包填塞风险增加独立相关。临床医生应考虑体重不足人群中心脏压塞的高风险，并采取适当措施降低这种风险。
BackgroundCardiac tamponade is a potentially fatal complication of catheter ablation for atrial fibrillation (AF).ObjectivesThis study aimed to evaluate the impact of body mass index (BMI) on cardiac tamponade during AF ablation.MethodsPatients who underwent catheter ablation for AF between April 1, 2016 and March 31, 2018 were analyzed using a Japanese nationwide claims database. Mixed-effects multivariable Poisson regression analysis was performed to investigate the association between BMI and cardiac tamponade.ResultsA total of 59,789 hospitalizations (age 65.6 ± 10.4 years, 29% women) with catheter ablation for AF were analyzed. Cardiac tamponade occurred in 647 patients (1.1%). Multivariable analysis revealed that being underweight (BMI <18.5 kg/m2) was associated with an increased risk of cardiac tamponade (relative risk [RR]: 1.42; 95% CI: 1.03-1.95) when compared with having a normal weight (BMI ≥18.5 and <25 kg/m2). Other characteristics that were associated with an increased risk of cardiac tamponade were age ≥75 years, female sex, and a history of heart failure, hypertension, diabetes, and dialysis treatment.ConclusionsIn 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.