{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:58:05Z","timestamp":1784289485733,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T00:00:00Z","timestamp":1579046400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We have previously demonstrated the feasibility of a nurse\u2010led risk factor modification (RFM) program for improving weight loss and obstructive sleep apnea (OSA) care among patients with atrial fibrillation (AF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We now report its impact on arrhythmia outcomes in a subgroup of patients undergoing catheter ablation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participating patients with obesity and\/or need for OSA management (high risk per Berlin Questionnaire or untreated OSA) underwent in\u2010person consultation and monthly telephone calls with the nurse for up to 1 year. Arrhythmias were assessed by office ECGs and \u22652 wearable monitors. Outcomes, defined as <jats:italic>Arrhythmia control<\/jats:italic> (0\u20106 self\u2010terminating recurrences, with \u22641 cardioversion for nonparoxysmal AF) and <jats:italic>Freedom from arrhythmias<\/jats:italic> (no recurrences on or off antiarrhythmic drugs), were compared at 1 year between patients undergoing catheter ablation who enrolled and declined RFM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 1 November 2016 and 1 April 2018, 195 patients enrolled and 196 declined RFM (body mass index, 35.1\u2009\u00b1\u20096.7 vs 34.3\u2009\u00b1\u20096.3\u2009kg\/m<jats:sup>2<\/jats:sup>; 50% vs 50% paroxysmal AF; <jats:italic>P<\/jats:italic>\u2009=\u2009NS). At 1 year, enrolled patients demonstrated significant weight loss (4.7%\u2009\u00b1\u20095.3% vs 0.3%\u2009\u00b1\u20094.4% in declined patients; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001) and improved OSA care (78% [n\u2009=\u200943] of patients diagnosed with OSA began treatment). However, outcomes were similar between enrolled and declined patients undergoing ablation (arrhythmia control in 80% [n\u2009=\u200948] vs 79% [n\u2009=\u200938]; freedom from arrhythmia in 58% [n\u2009=\u200935] vs 71% [n\u2009=\u200934]; <jats:italic>P<\/jats:italic>\u2009=\u2009NS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite improving weight loss and OSA care, our nurse\u2010led RFM program did not impact 1\u2010year arrhythmia outcomes in patients with AF undergoing catheter ablation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.14336","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T04:24:47Z","timestamp":1578543887000},"page":"423-431","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Impact of a nurse\u2010led limited risk factor modification program on arrhythmia outcomes in patients with atrial fibrillation undergoing catheter ablation"],"prefix":"10.1111","volume":"31","author":[{"given":"Amaryah","family":"Yaeger","sequence":"first","affiliation":[{"name":"Cardiovascular Division Hospital of The University of Pennsylvania  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan T.","family":"Keenan","sequence":"additional","affiliation":[{"name":"Sleep Medicine Division Hospital of The University of Pennsylvania  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy R.","family":"Cash","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Hospital of The University of Pennsylvania  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Parham","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Hospital of The University of Pennsylvania  Philadelphia 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