{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T19:28:51Z","timestamp":1789241331144,"version":"build-2803163510"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["R00NR019124"],"award-info":[{"award-number":["R00NR019124"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["T32NR007969"],"award-info":[{"award-number":["T32NR007969"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Atrial fibrillation (AF) symptom relief is a primary indication for catheter ablation, but AF symptom resolution is not well characterized. The study objective was to describe AF symptom documentation in electronic health records (EHRs) pre- and post-ablation and identify correlates of post-ablation symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We conducted a retrospective cohort study using EHRs of patients with AF (n = 1293), undergoing ablation in a large, urban health system from 2010 to 2020. We extracted symptom data from clinical notes using a natural language processing algorithm (F score: 0.81). We used Cochran\u2019s Q tests with post-hoc McNemar\u2019s tests to determine differences in symptom prevalence pre- and post-ablation. We used logistic regression models to estimate the adjusted odds of symptom resolution by personal or clinical characteristics at 6 and 12 months post-ablation. In fully adjusted models, at 12 months post-ablation patients, patients with heart failure had significantly lower odds of dyspnoea resolution [odds ratio (OR) 0.38, 95% confidence interval (CI) 0.25\u20130.57], oedema resolution (OR 0.37, 95% CI 0.25\u20130.56), and fatigue resolution (OR 0.54, 95% CI 0.34\u20130.85), but higher odds of palpitations resolution (OR 1.90, 95% CI 1.25\u20132.89) compared with those without heart failure. Age 65 and older, female sex, Black or African American race, smoking history, and antiarrhythmic use were also associated with lower odds of resolution of specific symptoms at 6 and 12 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The post-ablation symptom patterns are heterogeneous. Findings warrant confirmation with larger, more representative data sets, which may be informative for patients whose primary goal for undergoing an ablation is symptom relief.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvad068","type":"journal-article","created":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T00:01:38Z","timestamp":1689984098000},"page":"241-250","source":"Crossref","is-referenced-by-count":8,"title":["Characterizing atrial fibrillation symptom improvement following <i>de novo<\/i> catheter ablation"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6264-6320","authenticated-orcid":false,"given":"Meghan","family":"Reading Turchioe","sequence":"first","affiliation":[{"name":"Columbia University School of Nursing , 560 W. 168th Street, New York, NY 10032 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Volodarskiy","sequence":"additional","affiliation":[{"name":"Department of Cardiology, NewYork-Presbyterian Queens Hospital , 56-45 Main St, Queens, NY 11355 , USA"},{"name":"Department of Population Health Sciences, Weill Cornell Medicine , 402 E 67th St, New York, NY 10065 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winston","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , 402 E 67th St, New York, NY 10065 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Taylor","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing , 560 W. 168th Street, New York, NY 10032 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2852-4175","authenticated-orcid":false,"given":"Mollie","family":"Hobensack","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing , 560 W. 168th Street, New York, NY 10032 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyotishman","family":"Pathak","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , 402 E 67th St, New York, NY 10065 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4130-0419","authenticated-orcid":false,"given":"David","family":"Slotwiner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, NewYork-Presbyterian Queens Hospital , 56-45 Main St, Queens, NY 11355 , USA"},{"name":"Department of Population Health Sciences, Weill Cornell Medicine , 402 E 67th St, New York, NY 10065 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"2024041200025030800_zvad068-B1","doi-asserted-by":"crossref","first-page":"e153","DOI":"10.1161\/CIR.0000000000001052","article-title":"Heart Disease and Stroke Statistics-2022 Update: a report from the American Heart Association","volume":"145","author":"Tsao","year":"2022","journal-title":"Circulation"},{"key":"2024041200025030800_zvad068-B2","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1001\/jamainternmed.2013.1561","article-title":"Discerning the incidence of symptomatic and asymptomatic episodes of atrial fibrillation before and after catheter ablation (DISCERN AF): a prospective, multicenter study","volume":"173","author":"Verma","year":"2013","journal-title":"JAMA Intern Med"},{"key":"2024041200025030800_zvad068-B3","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1001\/jama.2015.7505","article-title":"Treatment of atrial fibrillation","volume":"314","author":"Prystowsky","year":"2015","journal-title":"JAMA"},{"key":"2024041200025030800_zvad068-B4","doi-asserted-by":"crossref","first-page":"2246","DOI":"10.1016\/j.jacc.2014.03.021","article-title":"2014 AHA\/ACC\/HRS Guideline for the management of patients with atrial fibrillation: executive summary. 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