Quality of life changes: a prospective evaluation after surgery ablation atrial fibrillation

Method In this prospective randomized study, we included 95 patients with pAF and CAD who underwent CABG combined with intraoperative irrRA. Patients were randomly assigned to 3 groups: CABG and PVI (CABG+PVI, n = 31), CABG and MM procedure (CABG+MM, n = 30), and isolated CABG (CABG alone, n = 34). All patients received implantable loop recorders (ILRs). Patient QoL was assessed using the Short Form 36 (SF-36) preoperatively, and 1 and 2 years postoperatively. The study primary end pointfreedom from AF 1 year postoperatively, measured by ILRs; secondary end point long-term outcomes, QoL, mortality, cardiovascular events. Results No reoperations or hospital mortalities were recorded. Mean follow-up was 14.4 ± 9.7 months. The freedom from AF were 80%, 86.2%, and 44.1% in the CABG+PVI, CABG+MM, and in the CABG alone groups, respectively. The QoL significantly improved in CABG+PVI and CABG+MM groups compared with CABG alone group in most domains.