Atrial fibrillation ablation in obese patients

Matthew Needleman, Hugh Calkins

Research output: Contribution to journalReview article

Abstract

Despite the increased burden of atrial fibrillation (AF), obese patients have similar, if not slightly improved, mortality, described as the "obesity paradox." Catheter ablation for AF in obese patients is a reasonable option, but patients should be screened for sleep apnea and counseled about the possibility of longer procedure times and repeat procedures to achieve similar success rates. Quality of life will likely improve after successful ablation. Although no statistically significant increases in procedural complications have occurred in obese subjects, patients should be counseled about the increased radiation dose and higher incidence of left atrial thrombus preablation.

Original languageEnglish (US)
Pages (from-to)327-334
Number of pages8
JournalCardiac Electrophysiology Clinics
Volume4
Issue number3
DOIs
StatePublished - Sep 1 2012

Keywords

  • Atrial fibrillation
  • Body mass index
  • Catheter ablation
  • Obesity
  • Sleep apnea

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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