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Long-Term Outcomes of Catheter Ablation in Atrial Fibrillation Patients With Complete Left Bundle Branch Block
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  • Jia-Xue Yang,
  • Wen-He LV,
  • Jian zeng Dong,
  • Xin Du,
  • Deyong Long,
  • Liu He,
  • Hao-Sheng Wu,
  • Yu-Kun Li,
  • Ribo Tang,
  • Chang Sheng Ma
Jia-Xue Yang
Capital Medical University Affiliated Anzhen Hospital

Corresponding Author:[email protected]

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Wen-He LV
Capital Medical University Affiliated Anzhen Hospital
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Jian zeng Dong
Capital Medical University Affiliated Anzhen Hospital
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Xin Du
Capital Medical University Affiliated Anzhen Hospital
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Deyong Long
Capital Medical University Affiliated Anzhen Hospital
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Liu He
Capital Medical University Affiliated Anzhen Hospital
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Hao-Sheng Wu
Capital Medical University Affiliated Anzhen Hospital
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Yu-Kun Li
Capital Medical University Affiliated Anzhen Hospital
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Ribo Tang
Capital Medical University Affiliated Anzhen Hospital
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Chang Sheng Ma
Capital Medical University Affiliated Anzhen Hospital
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Abstract

Background: CLBBB and AF are not uncommon coexisted. The impact of CLBBB on long-term prognosis of catheter ablation of AF has not been well determined. Objectives: This study aims to explore the long-term outcomes of patients with atrial fibrillation (AF) and complete left bundle branch block (CLBBB) after catheter ablation. Methods: Forty-two patients with CLBBB of the 11,752 patients who underwent catheter ablation of AF from 2011 to 2020 were enrolled as CLBBB group. After propensity score matching in a 1:4 ratio, 168 AF patients without CLBBB were enrolled as Non-CLBBB group. The primary endpoint was a composite of stroke, all-cause mortality, and cardiovascular hospitalization. The secondary endpoint was AF recurrence after single ablation. Results: The incidence of the primary endpoint in the CLBBB group was significantly higher than in the Non-CLBBB group (21.4% vs. 6.5%, HR 3.98, 95%CI 1.64-9.64, P = 0.002). The recurrence rates in the CLBBB group and the Non-CLBBB group were 54.8% and 31.5% (HR 1.71, 95%CI 1.04-2.79, P = 0.034), respectively. Multivariate analysis showed that CLBBB was an independent risk factor for both primary endpoint (HR 2.92, 95%CI 1.17-3.34, P = 0.022) and secondary endpoint (HR 2.19, 95%CI 1.09-4.40, P = 0.031) in patients with AF after catheter ablation. Conclusions: CLBBB significantly increased the risk of a composite endpoint of stroke, all-cause mortality, and cardiovascular hospitalization after catheter ablation in patients with AF. CLBBB also independently predicted recurrence in these patients.