Symptom challenges after atrial fibrillation ablation

Heart Lung. 2017 Nov-Dec;46(6):425-431. doi: 10.1016/j.hrtlng.2017.08.007. Epub 2017 Sep 18.

Abstract

Background: It is unclear what symptom challenges occur during the recovery phase after atrial fibrillation (AF) ablation.

Objectives: This longitudinal pilot study explored the patient perspective of the first six months following an AF ablation.

Methods: Telephone interviews and questionnaires were used with 20 patients at baseline, at 1, 3, and 6 months after AF ablation. Telephone interview data were analyzed using content analysis. Longitudinal outcomes were analyzed using repeated measures analysis of variance (ANOVA).

Results: Mean age was 65 ± 7 years and the sample was 55% female. The severity and duration of fatigue was the most concerning symptom. Patient expectations differed from providers' expectations. Recovery was a much slower process than patients expected.

Conclusions: Patients struggled to manage symptoms after AF ablation. A more accurate understanding of the symptom challenges following AF ablation could lead to development of more realistic education to improve patient self-management.

Keywords: Ablation; Atrial Fibrillation; Fatigue; Quality of life; Symptoms.

MeSH terms

  • Aged
  • Atrial Fibrillation / diagnosis*
  • Atrial Fibrillation / surgery
  • Catheter Ablation*
  • Disease Progression
  • Fatigue / diagnosis
  • Fatigue / etiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Pilot Projects
  • Quality of Life*
  • Surveys and Questionnaires*
  • Time Factors
  • Treatment Outcome