title: [Improvement of quality of life after ablation of longstanding persistent versus paroxysmal atrial fibrillation: results of 2-year follow-up].
abstract: OBJECTIVE
  The purpose of the study was to assess quality of life and socio-economic parameters in patients after ablation of paroxysmal versus longstanding persistent atrial fibrillation (AF).
  
  
  METHODS
  The study included 89 patients with paroxysmal AF and 56 patients with longstanding persistent AF who underwent ablation within 1 year, and were afterwards prospectively followed up for 2 years. Quality of life was evaluated by the EQ-5D questionnaire before and every 6 months after ablation.
  
  
  RESULTS
  Objective, respectively subjective quality of life at baseline was lower in patients with longstanding persistent AF (67 +/- 16 vs 71 +/- 10; p = 0.01, resp. 64 +/- 12 vs 67 +/- 16; p = 0.07); however, after 2 years, it exceeded that of the patients with paroxysmal AF (80 +/- 17 vs 75 +/- 18; p = 0.03; resp. 73 +/- 13 vs 70 +/- 17; p = 0.18). The baseline-2 year difference in improvement was higher in patients with longstanding persistent AF in both objective (p = 0.001) and subjective component (p = 0.05). Both groups displayed significant decrease in the days of hospitalization, and the days of working incapacity.
  
  
  CONCLUSIONS
  Patients with longstanding persistent AF exhibit worse baseline quality of life than the patients with paroxysmal AF, and higher quality of life improvement after ablation.
authors.affiliation: II. Interní klinika kardiologie a angiologie 1. lékarské fakulty UK a VFN Praha. veronika.bulkova@gmail.com
authors.forename: V
authors.initials: V
authors.lastname: Bulková
authors.forename: M
authors.initials: M
authors.lastname: Fiala
authors.forename: L
authors.initials: L
authors.lastname: Haman
authors.forename: J
authors.initials: J
authors.lastname: Chovancík
authors.forename: L
authors.initials: L
authors.lastname: Sknouril
authors.forename: S
authors.initials: S
authors.lastname: Havránek
authors.forename: J
authors.initials: J
authors.lastname: Pindor
authors.forename: J
authors.initials: J
authors.lastname: Duda
authors.forename: J
authors.initials: J
authors.lastname: Gorzolka
authors.forename: K
authors.initials: K
authors.lastname: Ivanová
authors.forename: P
authors.initials: P
authors.lastname: Parízek
mesh_terms: D001281:Atrial Fibrillation / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001294:Attitude to Health; D017115:Catheter Ablation; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires