8/15/2023 0 Comments Cpt code atrial flutter ablationRhythm control strategies have traditionally focused on anti-arrhythmic drugs (AADs), although studies have shown that these drugs have numerous side effects and many patients do not durably maintain sinus rhythm. Patients who are highly symptomatic from AF are candidates for a rhythm control strategy. Patients are less likely to be referred for early CA if they are located in the Northeast and North Central regions, have more comorbidities, or higher CHA 2DS 2-VASc scores.Ītrial fibrillation (AF) can present with severe symptoms, thromboembolic events, and hemodynamic instability that leads to morbidity and mortality and frequent hospitalizations. ConclusionsĬA within 12 months for new-diagnosed AF increased significantly from 2010 to 2016, with most patients still trialed on an AAD prior to CA. Patients were less likely to undergo CA if they were located in the Northeast (OR: 0.80, CI: 0.73–0.88) or North Central (OR: 0.91, CI: 0.83–0.99) regions (compared with the West), had higher CHA 2DS 2-VASc scores, or had Charlson Comorbidity Index (CCI) score of 3 or greater (OR: 0.61 CI: 0.51–0.72). ResultsĮarly CA increased from 5.0% in 2010 to 10.5% in 2016. Patients were excluded if they had prior history of AF or had filled an anti-arrhythmic drug (AAD) in the pre-index period. Patients were included with a new diagnosis of AF in the inpatient or outpatient setting with continuous enrollment for at least 1 year pre and post index visit. MethodsĪ large nationally-representative sample of patients age 20 to 64 from years 2010 to 2016 was studied using the IBM MarketScan® Commercial Database. This study examined overall procedural trends and factors predictive of catheter ablation for newly-diagnosed atrial fibrillation in a young, commercially-insured population. However practice patterns and patient factors associated with referral for CA within the first 12 months after diagnosis are poorly characterized. Catheter ablation (CA) has emerged as an effective treatment for symptomatic atrial fibrillation (AF).
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