https://doi.org/10.4081/cardio.2024.55
Pulmonary artery pressure sensor device performance in patients with atrial fibrillation/flutter
Published: December 30, 2024
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APPENDIX: 58
APPENDIX: 58
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Background: Previous studies have demonstrated that hemodynamic-guided management using implantable pulmonary artery (PA) pressure sensor device reduces heart failure (HF) hospitalizations in patients with HF. It is unclear if atrial fibrillation/flutter (AF) affect the performance of the PA pressure sensor.
Methods: Using the National Readmission Database (NRD) we examined 90-day HF-specific and all-cause readmission in patients with and without AF after PA pressure sensor implantation in the US from 2016 to 2020 in a propensity score matched analysis. Our cohort comprised of adult patients (≥18 years) with an ICD-10 procedural code for PA pressure sensor implantation.
Results: We included 1515 hospitalizations with PA sensor implantation for 90-day readmission analysis. Among patients implanted with the PA pressure sensor, 17.2% of patients without AF and 16.3% of patients with AF were readmitted primarily for HF within 90-days of discharge (Adjusted OR: 1.07, 95% CI 0.61 – 1.87, p = 0.800). Whereas, 36.3% of patients without AF and 33.9% of patients with AF were readmitted for any cause within 90-days of discharge (Adjusted OR: 0.85, 95% CI 0.53 – 1.37, p = 0.505). In subgroup analysis, there was no difference in HF-specific or all-cause readmission in AF patients with HF with reduced ejection fraction or HF with preserved ejection fraction when compared to those without AF.
Conclusions: Analysis of a large, real-world cohort of HF patients with implantable PA pressure sensor showed that HF-specific and all-cause readmissions at 90 days after PA pressure sensor implantation were comparable between patients with and without AF.
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How to Cite
Almani, M. U., Alzubi, J., Yousuf, M., Alrawashdeh, R., Fatima, N., Al Madani, M., & Bonita, R. (2024). Pulmonary artery pressure sensor device performance in patients with atrial fibrillation/flutter. Global Cardiology, 2(4). https://doi.org/10.4081/cardio.2024.55
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