![]() ![]() Long-term recurrence prevention was variable with catheter ablations in 8 cases. In 27 aircrew (64%) AF terminated spontaneously. ![]() The breakdown of events and occurrence was found to be: single (23), paroxysmal (16), persistent (2), permanent (1). The median follow-up period was 5.35 years. The median age at initial diagnosis was 47 years (min 22 years, max 62 years). In a 34-year period, between March 1989 and January 2023, 42 aircrew with at least one episode of AF were registered, all of them were male. Evaluation results for underlying disease, AF characteristics, important clinical findings, and occupational decisions were analyzed in the light of current clinical guidelines and aeromedical regulations. The digital information systems of the German Air Force Centre of Aerospace Medicine (GAFCAM) were searched for aircrew (pilot and non-pilot aircrew from German Air Force, Army, and Navy) with the diagnosis of AF. This manuscript analyzes AF cases in German military aircrew from both a clinical and occupational perspective to point out specific characteristics in this comparatively young, highly selected, and closely monitored group, and to discuss AF management with the aim of a return to flying duties. Aircrew, and particularly pilots, are subject to a unique and exacting working environment, especially in high-performance military aircraft. These results suggest the divergence in outcome rates stems from variance in the treatment pathways beginning at the index date.Arrhythmias are one of the most common causes of loss of flying privileges for both military and civilian pilots in the Western World, and atrial fibrillation (AF) is one of the most common arrhythmias worldwide. After the index date, there were significantly lower yearly event rates in the ablation cohort. Postindex models showed significantly lower annual rates of stroke/TIA in ablation patients compared with each control group over 5 years (0.64% 0.11% ablation vs 1.84% 0.23% general AF, p Conclusion: Matching resulted in cohorts having the same baseline risks and rates of ischemic cerebrovascular events. Statistical models of stroke/TIA risk in the preindex period showed no difference in annual event rates between cohorts (meanstandard error 0.30% 0.08% ablation vs 0.28% 0.07% general AF, p=0.8292 0.37% 0.09% ablation vs 0.42% 0.08% cardioversion, p=0.5198). Matched populations had very similar demographic and comorbidity profiles, including nearly identical CHA2DS-VASc risk distribution (p-values 0.6948 and 0.8152 vs general AF and cardioversion cohorts). Index date was defined as the first ablation, the first cardioversion, or the second AF event in the general AF cohort. Yearly rates of ischemic stroke or transient ischemic attack (stroke/TIA) before and after an index date were compared between cohorts. ![]() A total of 4,991 ablation patients were matched 1:1 to general AF controls with no ablation, and 5,407 ablation patients were similarly matched to controls who underwent cardioversion. Methods and results: Using routinely collected hospital data, ablation patients were matched to two control cohorts via direct and propensity score matching. Abstract : Background: We sought to determine whether catheter ablation of atrial fibrillation (AF) is associated with reduced occurrence of ischemic cerebrovascular events. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |