Gender differences in patients referred for atrial fibrillation management to a tertiary center
Abstract
Background Atrial fibrillation (AF) ablation is less frequently performed in women than in men. Although the prevalence of AF is slightly higher in men, this does not fully account for the lower number of AF ablations performed in women. This study sought to examine the effect of gender on referral for AF and subsequent AF management. Methods Consecutive patients referred to our tertiary arrhythmia outpatient clinic for AF management were retrospectively analyzed. Results Of 264 patients referred, only 27% were women. Women were older than men (63 +/- 9 vs 58 +/- 11 years, P = 0.002), more often had paroxysmal AF (78% vs 63% in men, P = 0.022), and women more frequently complained about palpitations (71% vs 49%, P = 0.002). In addition, they had more often experienced amiodarone side effects than men (56% vs 36%, P = 0.046). In this referred population, there was no difference in the proportion of women and men undergoing AF ablation immediately following the initial evaluation (21% vs 25%, P = ns), at any time during the follow-up (38% vs 44%, P = ns), and there was no difference in the proportion of patients undergoing atrioventricular node ablation in both sexes (6% of women vs 3% of men, P = ns). Conclusions There is an important difference in the proportion of men and women referred for management of AF in a specialized outpatient arrhythmia clinic, with women being referred three times less often than men. However, there is no gender-related difference in the subsequent…
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Women with AF appear less likely to receive specialist care and rhythm control therapy.
“Bleeding risk on anticoagulation is similar in both sexes, 49,50,53 but women appear less likely to receive specialist care and rhythm control therapy, 54 while the outcomes of catheter ablation or AF surgery are comparable to those in men.55,56”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [54]
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Outcomes of pulmonary vein electrical isolation in patients younger than and older than 70 years
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- Authors
- ROTEN, L., RIMOLDI, S. F., SCHWICK, N., SAKATA, T., HEIMGARTNER, C., FUHRER, J., DELACRÉTAZ, E., & TANNER, H.
- Affiliations
- University of Bern (CH)
- Corresponding author
- ROTEN, LAURENT
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 2009-04-14
- Volume
- 32
- Issue
- 5
- Pages
- 622-626
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W2069428700
- Cited by
- 73
- References
- 20
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 10 · 2021: 4 · 2020: 4 · 2019: 8 · 2018: 5 · 2017: 7 · 2016: 6 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 3
- FWCI
- 2.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pacing and Clinical Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- BORIS (University Library Bern) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Keywords
- atrial fibrillation, gender differences, sex disparities in care, referral rates, catheter ablation, atrioventricular node ablation, paroxysmal atrial fibrillation, palpitations
- MeSH terms
- Atrial Fibrillation, Female, Humans, Industry, Male, Middle Aged, Referral and Consultation, Risk Factors, Switzerland, Incidence, Catheter Ablation, Sex Distribution, Risk Assessment
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