The effect of non-insulin-based insulin resistance indices on the prediction of recurrence in patients with atrial fibrillation undergoing radiofrequency catheter ablation

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

All the four non-insulin-based IR indices were significantly associated with late AF recurrence in patients undergoing radiofrequency catheter ablation. Addressing IR could potentially serve as a viable strategy for reducing the late AF recurrence rate.

Study context

Population
Atrial fibrillation (AF) patients undergoing radiofrequency catheter ablation
Participants
910 patients
Exposure
Non-insulin-based insulin resistance (IR) indices and late AF recurrence
Outcome
Late AF recurrence during follow-up after a defined blank period
Follow-up
Median 12.00 months

Main finding

As reported in the abstract

Late AF recurrence

Patients with late AF recurrence

189

20.77%

Observational data: associations, not effects.

Further findings

METS-IR and late AF recurrence, subgroup with DM

HR (95% CI)P value
METS-IRPatients with DM1.697 (1.397–2.063)P < 0.001

Original publication

The effect of non-insulin-based insulin resistance indices on the prediction of recurrence in patients with atrial fibrillation undergoing radiofrequency catheter ablation. Cardiovasc Diabetol. Published 7 August 2024. doi:10.1186/s12933-024-02388-8

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