Gender and age differences in symptoms and health-related quality of life in patients with atrial fibrillation referred for catheter ablation

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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Gender and age differences in symptoms and health-related quality of life in patients with atrial fibrillation referred for catheter ablation. / Walfridsson, Ulla; Steen Hansen, Peter; Charitakis, Emmanouil; Almroth, Henrik; Jönsson, Anders; Karlsson, Lars O.; Liuba, Ioan; Samo Ayou, Romeo; Poci, Dritan; Holmqvist, Fredrik; Kongstad, Ole; Walfridsson, Håkan.

I: PACE - Pacing and Clinical Electrophysiology, Vol. 42, Nr. 11, 2019, s. 1431-1439.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Harvard

Walfridsson, U, Steen Hansen, P, Charitakis, E, Almroth, H, Jönsson, A, Karlsson, LO, Liuba, I, Samo Ayou, R, Poci, D, Holmqvist, F, Kongstad, O & Walfridsson, H 2019, 'Gender and age differences in symptoms and health-related quality of life in patients with atrial fibrillation referred for catheter ablation', PACE - Pacing and Clinical Electrophysiology, vol. 42, nr. 11, s. 1431-1439. https://doi.org/10.1111/pace.13795

APA

Walfridsson, U., Steen Hansen, P., Charitakis, E., Almroth, H., Jönsson, A., Karlsson, L. O., ... Walfridsson, H. (2019). Gender and age differences in symptoms and health-related quality of life in patients with atrial fibrillation referred for catheter ablation. PACE - Pacing and Clinical Electrophysiology, 42(11), 1431-1439. https://doi.org/10.1111/pace.13795

CBE

Walfridsson U, Steen Hansen P, Charitakis E, Almroth H, Jönsson A, Karlsson LO, Liuba I, Samo Ayou R, Poci D, Holmqvist F, Kongstad O, Walfridsson H. 2019. Gender and age differences in symptoms and health-related quality of life in patients with atrial fibrillation referred for catheter ablation. PACE - Pacing and Clinical Electrophysiology. 42(11):1431-1439. https://doi.org/10.1111/pace.13795

MLA

Vancouver

Author

Walfridsson, Ulla ; Steen Hansen, Peter ; Charitakis, Emmanouil ; Almroth, Henrik ; Jönsson, Anders ; Karlsson, Lars O. ; Liuba, Ioan ; Samo Ayou, Romeo ; Poci, Dritan ; Holmqvist, Fredrik ; Kongstad, Ole ; Walfridsson, Håkan. / Gender and age differences in symptoms and health-related quality of life in patients with atrial fibrillation referred for catheter ablation. I: PACE - Pacing and Clinical Electrophysiology. 2019 ; Vol. 42, Nr. 11. s. 1431-1439.

RIS

TY - JOUR

T1 - Gender and age differences in symptoms and health-related quality of life in patients with atrial fibrillation referred for catheter ablation

AU - Walfridsson, Ulla

AU - Steen Hansen, Peter

AU - Charitakis, Emmanouil

AU - Almroth, Henrik

AU - Jönsson, Anders

AU - Karlsson, Lars O.

AU - Liuba, Ioan

AU - Samo Ayou, Romeo

AU - Poci, Dritan

AU - Holmqvist, Fredrik

AU - Kongstad, Ole

AU - Walfridsson, Håkan

PY - 2019

Y1 - 2019

N2 - Background: Primary indication for catheter ablation of atrial fibrillation (AF) is to reduce symptoms and improve health-related quality of life (HRQoL). There are data showing differences between the genders and between younger and older patients. To evaluate this, we studied a large Scandinavian cohort of patients referred for catheter ablation of AF. Methods: Consecutive patients filled out the ASTA questionnaire, assessing symptoms, HRQoL, and perception of arrhythmia, prior to ablation. Patients were recruited from four Swedish and one Danish tertiary center. Results: A total of 2493 patients (72% men) filled out the ASTA questionnaire. Women experienced eight of the nine ASTA scale symptoms more often than men. Patients <65 years reported four symptoms more often, only tiredness was more frequent in those ≥65 years (P =.007). Women and patients <65 years experienced more often palpitations and regarding close to fainting and this was more common among women, no age differences were seen. Women and men scored differently in 10 of the 13 HRQoL items. Only negative impact on sexual life was more common in men (P <.001). Older patients reported more negative influence in four of the HRQoL items and the younger in one; ability to concentrate. Conclusions: Women experienced a more pronounced symptom burden and were more negatively affected in all HRQoL concerns, except for the negative impact on sexual life, where men reported more influence of AF. Differences between age groups were less pronounced. Disease-specific patient-reported outcomes measures (PROMs) add important information where gender differences should be considered in the care.

AB - Background: Primary indication for catheter ablation of atrial fibrillation (AF) is to reduce symptoms and improve health-related quality of life (HRQoL). There are data showing differences between the genders and between younger and older patients. To evaluate this, we studied a large Scandinavian cohort of patients referred for catheter ablation of AF. Methods: Consecutive patients filled out the ASTA questionnaire, assessing symptoms, HRQoL, and perception of arrhythmia, prior to ablation. Patients were recruited from four Swedish and one Danish tertiary center. Results: A total of 2493 patients (72% men) filled out the ASTA questionnaire. Women experienced eight of the nine ASTA scale symptoms more often than men. Patients <65 years reported four symptoms more often, only tiredness was more frequent in those ≥65 years (P =.007). Women and patients <65 years experienced more often palpitations and regarding close to fainting and this was more common among women, no age differences were seen. Women and men scored differently in 10 of the 13 HRQoL items. Only negative impact on sexual life was more common in men (P <.001). Older patients reported more negative influence in four of the HRQoL items and the younger in one; ability to concentrate. Conclusions: Women experienced a more pronounced symptom burden and were more negatively affected in all HRQoL concerns, except for the negative impact on sexual life, where men reported more influence of AF. Differences between age groups were less pronounced. Disease-specific patient-reported outcomes measures (PROMs) add important information where gender differences should be considered in the care.

KW - age

KW - atrial fibrillation

KW - disease-specific questionnaire

KW - gender

KW - health-related quality of life

KW - symptoms

U2 - 10.1111/pace.13795

DO - 10.1111/pace.13795

M3 - Article

VL - 42

SP - 1431

EP - 1439

JO - PACE - Pacing and Clinical Electrophysiology

JF - PACE - Pacing and Clinical Electrophysiology

SN - 1540-8159

IS - 11

ER -