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Zweiker D, Sieghartsleitner R, Toth G, Stix G, Vock P, Schratter A, Fiedler L, Aichinger J, Steinwender C, Binder R, Barbieri F, Ablasser K, Verheyen N, Zirlik A, Scherr D. Low haemoglobin is associated with increased risk of complications in left atrial appendage closure patients. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Left atrial appendage closure is associated with a relevant procedural complication rate. Baseline risk factors, such as pre-procedural lab results, may identify patients that develop acute complications.
Methods
We performed a retrospective analysis of the impact of baseline characteristics and preprocedural lab results on the acute procedural outcome in patients undergoing left atrial appendage closure from the Austrian Left Atrial Appendage Closure Registry between 2010 and 2019. The endpoint for procedural complications was defined as death, stroke, major bleeding, necessity for intensive care, other complications requiring invasive interventions or failure to implant the device. We also evaluated a modified endpoint with the exclusion of bleeding events. Logistic regression was performed using stepwise approach (backward method with p_out = 0.1) and forced inclusion of age, left-ventricular function and kidney function.
Results
A total of 320 consecutive patients from 9 centres with a median age of 75 years (36.6% female) were included. Seventy-eight percent had a history of bleeding and 35% had a history of stroke. Median CHA2DS2-VASc score was 5 (interquartile range, 3–5) and median HAS-BLED score was 3 (2–4). Procedural complications occurred in 15.3% of cases. Low haemoglobin and low activated partial thromboplastin time were associated with an increased complication rate. Other significant baseline factors were liver disease, absence of intracranial haemorrhage and severe aortic stenosis. In multivariate analysis, low haemoglobin remained a significant predictor, even after adjustment for age, left-ventricular function and kidney function (Table). In the modified procedural complication endpoint excluding major bleeding events (14.1%), low haemoglobin remained a significant predictor (haemoglobin 11.9±2.0 vs. 12.8±2.0 g/dL in patients with vs. without modified endpoint, p=0.013). A baseline haemoglobin lower than 12 g/dL was present in 39.4% and it increased relative risk of procedural complications by 89% (21.4 vs. 11.3% in patients with reduced vs. normal haemoglobin), and risk of complications without bleeding by 92% (19.8 vs. 10.3%).
Conclusion
Low baseline haemoglobin is independently associated with a higher complication rate after left appendage closure compared to patients with normal haemoglobin levels, even in a modified endpoint excluding bleeding and requirement for transfusion.
Funding Acknowledgement
Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): Boston Scientific - unrestricted grant Table 1
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Affiliation(s)
- D Zweiker
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | | | - G Toth
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - G Stix
- Medical University of Vienna, Division of Cardiology, Vienna, Austria
| | - P Vock
- University Hospital St. Polten, Department of Internal Medicine 3, St. Polten, Austria
| | - A Schratter
- Floridsdorf Clinic, Department of Cardiology, Vienna, Austria
| | - L Fiedler
- LK Wiener Neustadt Abteilung fuer Kardiologie und Nephrologie, Wiener Neustadt, Austria
| | - J Aichinger
- Ordensklinikum Linz Elisabethinen, Department of Internal Medicine 2, Linz, Austria
| | - C Steinwender
- Kepler University Hospital, Division of Cardiology, Linz, Austria
| | - R.K Binder
- Klinikum Wels-Grieskirchen, Department of Internal Medicine 2, Wels, Austria
| | - F Barbieri
- Medical University of Innsbruck, Department of Internal Medicine 3, Innsbruck, Austria
| | - K Ablasser
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - N Verheyen
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - A Zirlik
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - D Scherr
- Medical University of Graz, Division of Cardiology, Graz, Austria
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Manninger M, Ebner J, Zweiker D, Sieghartsleitner R, Mastnak B, Bisping E, Lercher P, Riedlbauer R, Rotman B, Brussee H, Scherr D. P6613Is there a difference in outcome in patients undergoing first vs. second line ablation of atrial fibrillation? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M Manninger
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - J Ebner
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - D Zweiker
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | | | - B Mastnak
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - E Bisping
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - P Lercher
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - R Riedlbauer
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - B Rotman
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - H Brussee
- Medical University of Graz, Department of Cardiology, Graz, Austria
| | - D Scherr
- Medical University of Graz, Department of Cardiology, Graz, Austria
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Zweiker D, Sieghartsleitner R, Toth G, Luha O, Stix G, Vock P, Delle-Karth G, Fiedler L, Aichinger J, Steinwender C, Rammer M, Ablasser K, Brussee H, Scherr D. 678Indications for and outcome in patients undergoing left atrial appendage closure - Results of the Austrian LAAC Registry. Europace 2018. [DOI: 10.1093/europace/euy015.323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- D Zweiker
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | | | - G Toth
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - O Luha
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - G Stix
- Medical University of Vienna, AKH – Vienna, Cardiology Clinic, Vienna, Austria
| | - P Vock
- University Hospital St. Poelten, Department of Internal Medicine 3, St. Poelten, Austria
| | - G Delle-Karth
- Hietzing Hospital, Department of Internal Medicine 4, Vienna, Austria
| | - L Fiedler
- Landesklinikum, Department of Internal Medicine, Mödling, Austria
| | - J Aichinger
- Elisabethinen University Teaching Hospital, Department of Internal Medicine 2, Linz, Austria
| | - C Steinwender
- Kepler University Hospital Linz, Department of Internal Medicine 1, Linz, Austria
| | - M Rammer
- Klinikum Wels-Grieskirchen, Department of Internal Medicine 2, Wels, Austria
| | - K Ablasser
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - H Brussee
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - D Scherr
- Medical University of Graz, Division of Cardiology, Graz, Austria
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Manninger M, Zweiker D, Ebner J, Sieghartsleitner R, Ohnewein B, Brussee H, Scherr D. P913Is there a difference in outcome in patients undergoing first vs. second line ablation of atrial fibrillation? Europace 2017. [DOI: 10.1093/ehjci/eux151.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Zweiker D, Manninger M, Ebner J, Sieghartsleitner R, Ohnewein B, Brussee H, Scherr D. P369Impact of non-VKA oral anticoagulants on AF ablation outcome. Europace 2017. [DOI: 10.1093/ehjci/eux141.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Haudum A, Birklbauer J, Sieghartsleitner R, Gonaus C, Müller E. Blood lactate response, oxygen consumption, and muscle activity during treadmill running with constraint. Percept Mot Skills 2014; 119:20-37. [PMID: 25153735 DOI: 10.2466/30.23.pms.119c16z5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The induction of self-organization during running with a special harness may lead to reduced energy requirements. This experiment was designed to investigate the effect of practicing with a rubber tubing constraint attached between the heel and the hip for 7 wk. (18 treadmill running sessions) on oxygen consumption, caloric unit cost, blood lactate concentration, and muscle activity. 18 male recreational runners (M age = 26.3 yr.) were assigned to either an intervention or a control group. The intervention group trained with the constraint and the control group trained without it. Test 1 was conducted before the intervention, Test 2 after the intervention, and Test 3 7 wk. after Test 2 (no training between Tests 2 and 3). At Test 1, lactate and muscle activity were significantly increased during constrained running. For lactate, a significant decrease was found in the intervention group for running with the constraint; at Test 3, lactate returned to Test 1 level. No notable changes occurred in the physiological parameters. Furthermore, there was no observed transfer effect on normal running.
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Affiliation(s)
- A Haudum
- 1 Department of Sport Science and Kinesiology, University of Salzburg, Austria Christian Doppler Laboratory "Biomechanics in Skiing," Salzburg, Austria
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