Women with atrial fibrillation undergoing pulmonary vein isolation are more symptomatic but improve more in health-related quality of life and symptom burden than men

References

• Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Europace. 2016;18(11):1609–1678.
   PubMed Web of Science ®Google Scholar
• Dagres N, Nieuwlaat R, Vardas PE, et al. Gender-related differences in presentation, treatment, and outcome of patients with atrial fibrillation in Europe: a report from the Euro Heart Survey on atrial fibrillation. J Am Coll Cardiol. 2007;49(5):572–577.
   PubMed Web of Science ®Google Scholar
• Lip GY, Laroche C, Boriani G, et al. Sex-related differences in presentation, treatment, and outcome of patients with atrial fibrillation in Europe: a report from the Euro observational research programme pilot survey on atrial fibrillation. Europace. 2015;17(1):24–31.
   PubMed Web of Science ®Google Scholar
• Patel D, Mohanty P, Di Biase L, et al. Outcomes and complications of catheter ablation for atrial fibrillation in females. Heart Rhythm. 2010;7(2):167–172.
   PubMed Web of Science ®Google Scholar
• Forleo GB, Tondo C, De Luca L, et al. Gender-related differences in catheter ablation of atrial fibrillation. Europace. 2007;9(8):613–620.
   PubMed Web of Science ®Google Scholar
• Humphries KH, Kerr CR, Connolly SJ, et al. New-onset atrial fibrillation: sex differences in presentation, treatment, and outcome. Circulation. 2001;103(19):2365–2370.
   PubMed Web of Science ®Google Scholar
• Carnlof C, Iwarzon M, Jensen-Urstad M, et al. Women with PSVT are often misdiagnosed, referred later than men, and have more symptoms after ablation. Scand Cardiovasc J. 2017;51(6):299–307.
   PubMed Web of Science ®Google Scholar
• Musa T, Darrat Y, Etaee F, et al. Gender differences in management of patients undergoing catheter ablation of atrioventricular nodal reentry tachycardia. Pacing Clin Electrophysiol. 2019;42(7):937–941.
   PubMed Web of Science ®Google Scholar
• Akerstrom F, Bastani H, Insulander P, et al. Comparison of regular atrial tachycardia incidence after circumferential radiofrequency versus cryoballoon pulmonary vein isolation in real-life practice. J Cardiovasc Electrophysiol. 2014;25(9):948–952.
   PubMed Web of Science ®Google Scholar
• Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–112.
   PubMed Web of Science ®Google Scholar
• Bubien RS, Knotts-Dolson SM, Plumb VJ, et al. Effect of radiofrequency catheter ablation on health-related quality of life and activities of daily living in patients with recurrent arrhythmias. Circulation. 1996;94(7):1585–1591.
   PubMed Web of Science ®Google Scholar
• Carnlöf C, Malinowsky C, Insulander P, et al. The symptom checklist: frequency and severity scale – translation and psychometric properties of the Swedish version. Nordic J Nurs Res. 2020;40(2):97–104.
   Google Scholar
• Sullivan M, Karlsson J, Taft C, et al. Swedish manual and interpretation guide 2ed. Gothenburg: Sahlgrenska University Hospital; 2002.
   Google Scholar
• Bergner M, Bobbitt RA, Carter WB, et al. The sickness impact profile: development and final revision of a health status measure. Med Care. 1981;19(8):787–805.
   PubMed Web of Science ®Google Scholar
• Sullivan M, Ahlmen M, Archenholtz B, et al. Measuring health in rheumatic disorders by means of a Swedish version of the sickness impact profile. Results from a population study. Scand J Rheumatol. 1986;15(2):193–200.
   PubMed Web of Science ®Google Scholar
• Lim KT, Davis MJ, Powell A, et al. Ablate and pace strategy for atrial fibrillation: long-term outcome of AIRCRAFT trial. Europace. 2007;9(7):498–505.
   PubMed Web of Science ®Google Scholar
• Sweeney MO, Hellkamp AS, Ellenbogen KA, et al. Prospective randomized study of mode switching in a clinical trial of pacemaker therapy for sinus node dysfunction. J Cardiovasc Electrophysiol. 2004;15(2):153–160.
   PubMed Web of Science ®Google Scholar
• Hindricks G, Potpara T, Dagres N, et al. 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European association for Cardio-Thoracic Surgery (EACTS): The task force for the diagnosis and management of atrial fibrillation of the European society of cardiology (ESC) developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J. 2021;42(5):373–498.
   PubMed Web of Science ®Google Scholar
• Hnatkova K, Waktare JE, Murgatroyd FD, et al. Age and gender influences on rate and duration of paroxysmal atrial fibrillation. Pacing Clin Electrophysiol. 1998;21(11):2455–2458.
   PubMed Web of Science ®Google Scholar
• Mohanty S, Trivedi C, Gianni C, et al. Gender specific considerations in atrial fibrillation treatment: a review. Expert Opin Pharmacother. 2018;19(4):365–374.
   PubMed Web of Science ®Google Scholar
• Holmqvist F, Kesek M, Englund A, et al. A decade of catheter ablation of cardiac arrhythmias in Sweden: ablation practices and outcomes. Eur Heart J. 2019;40(10):820–830.
   PubMed Web of Science ®Google Scholar
• Svennberg E, Engdahl J, Al-Khalili F, et al. Mass screening for untreated atrial fibrillation: the STROKESTOP study. Circulation. 2015;131(25):2176–2184.
   PubMed Web of Science ®Google Scholar
• Thrall G, Lane D, Carroll D, et al. Quality of life in patients with atrial fibrillation: a systematic review. Am J Med. 2006;119(5):448 e1–448 e19.
   PubMed Web of Science ®Google Scholar
• McCabe PJ. Self-management of atrial fibrillation: a new frontier for nursing research. Prog Cardiovasc Nurs. 2008;23(1):37–40.
   PubMedGoogle Scholar
• Lip GY, Kamath S, Jafri M, et al. Ethnic differences in patient perceptions of atrial fibrillation and anticoagulation therapy: the West Birmingham atrial fibrillation project. Stroke. 2002;33(1):238–242.
   PubMed Web of Science ®Google Scholar
• Aliot E, Breithardt G, Brugada J, et al. An international survey of physician and patient understanding, perception, and attitudes to atrial fibrillation and its contribution to cardiovascular disease morbidity and mortality. Europace. 2010;12(5):626–633.
   PubMed Web of Science ®Google Scholar
• Zylla MM, Brachmann J, Lewalter T, et al. Sex-related outcome of atrial fibrillation ablation: Insights from the German ablation registry. Heart Rhythm. 2016;13(9):1837–1844.
   PubMed Web of Science ®Google Scholar
• Dorian P, Jung W, Newman D, et al. The impairment of health-related quality of life in patients with intermittent atrial fibrillation: implications for the assessment of investigational therapy. J Am Coll Cardiol. 2000;36(4):1303–1309.
   PubMed Web of Science ®Google Scholar
• Wagner MK, Zwisler AO, Risom SS, et al. Sex differences in health status and rehabilitation outcomes in patients with atrial fibrillation treated with ablation: Results from the CopenHeartRFA trial. Eur J Cardiovasc Nurs. 2018;17(2):123–135.
   PubMed Web of Science ®Google Scholar
• Kwon Y, Gharib SA, Biggs ML, et al. Association of sleep characteristics with atrial fibrillation: the Multi-Ethnic study of atherosclerosis. Thorax. 2015;70(9):873–879.
   PubMed Web of Science ®Google Scholar