Evaluation of Gastroparesis After Radiofrequency Catheter Ablation of Atrial Fibrillation
Evaluation of Gastroparesis after AF Ablation
DOI:
https://doi.org/10.5281/zenodo.8031714Keywords:
Atrial fibrillation, gastroparesis, gastroparesis cardinal symptom index, radiofrequency ablationAbstract
Objective: Gastroparesis-related symptoms are common after catheter ablation of atrial fibrillation (AF). In the present study, patients were evaluated in terms of gastroparesis after AF ablation using the Gastroparesis Cardinal Symptom Index (GCSI) scale.
Methods: 85 consecutive patients (age 59 years, 57 women [67%]) with paroxysmal AF who submitted for catheter ablation were included this cross-sectional study. Radiofrequency Catheter Ablation Procedure was applied to all patients. The study population was evaluated by GCSI score at baseline and after 1 month of follow-up after catheter ablation. GCSI score was determined by averaging the mean score of 3 subscales: postprandial fullness/early satiety (4 items), nausea/vomiting (3 items), and bloating (2 items).
Results: The GCSI total score was 0.6 at baseline and 0.8 at the 1-month follow-up visit after ablation (p<0,001). Mean GCSI scores varied significantly by severity of vomiting (p<0.001), nausea (p <0.016), stomach fullness (p <0.001), not able to finish meal and feeling full after meals (p <0.001). Recurrence of AF developed in 19% (16 of 85) of patients at one-year follow-up. The study population was divided into 2 subgroups according to the presence of AF recurrence. A statistically significant increase was observed in GCSI score after ablation in both groups.
Conclusions: The findings of the present study showed that treatment of AF with ablation resulted in a statistically significant increase in gastroparesis symptoms independent of recurrence. The present study suggested that the GCSI scale may be a cost-saving screening test for rapid diagnosis and proper treatment.
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