Panic features strongly predict the subjective but not the objective benefit of pulmonary vein isolation
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Clinically observed discrepancies between electrocardiogram findings and subjective report of symptoms related to atrial fibrillation (AF) often remain unexplained. One could hypothesize that after a technically successful ablation, preoperative panic behavior might affect the report of AF-related symptoms. However, research on comorbid panic behavior in patients with AF is limited.
In this observational prospective cohort study, we investigated psychological characteristics, in particular the prevalence of panic features, among 112 patients with AF and its possible influence on experienced outcome of subsequent ablation treatment.
Twelve percent of the AF patients (n = 12) were pre-operatively characterized by panic features. This group experienced higher levels of distress and more limitations in daily life compared to AF patients without panic features, but was not characterized by higher levels of neuroticism. However, AF-ablation resulted in a similar reduction of experienced limitations in daily functioning and levels of distress in both groups.
Patients with panic features experience more distress and more limitations in daily life from AF, but these complaints are reduced by AF ablation in a similar rate as in patients without panic features. Additional psychological therapy is suggested as a method to further reduce subjective AF disease burden in these patients.
KeywordsPanic Atrial fibrillation Ablation Outcome
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflicts of interest.
- 1.Patel D, McConkey ND, Sohany R, McNeil A, Jedrzejczyk A, Armaganijan L. A systematic review of depression and anxiety in patients with atrial fibrillation: the mind-heart link. Cardiovasc Psychiatry Neurol. 2013;2013(1):159850. https://doi.org/10.1155/2013/159850.
- 5.Abrignani MG, Renda N, Abrignani V, Raffa A, Novo S, Lo Baido R. Panic disorder, anxiety and cardiovascular diseases. Clin Neuropsychiatry. 2014;11:130–44.Google Scholar
- 6.Lioni L, Vlachos K, Letsas K, Efremidis M, Karlis D, Asvestas D, et al. Differences in quality of life, anxiety and depression in patients with paroxysmal atrial fibrillation and common forms of atrioventricular reentry supraventricular tachycardias. Indian Pacing Electrophysiol J. 2004;14:250–7.CrossRefGoogle Scholar
- 21.Nationaal Kompas Volksgezondheid. Angststoornissen. http://www.nationaalkompas.nl. 12 August 2016, Date last Accessed.