Patient characteristics | Rhythm-control strategy (n = 20) | Rate-control strategy (n = 35) | p-value |
---|---|---|---|
Demographics | |||
Age (years) | 74 ± 7.2 | 79 ± 7.4 | 0.01 |
Male gender (n) | 14 (70%) | 19 (54%) | ns |
White race (n) | 16 (80%) | 34 (97%) | ns |
Died during 5-years post-Watchman® implant (n) | 9 (45%) | 17 (49%) | ns |
Medical history | |||
Hypertension (n) | 20 (100%) | 35 (100%) | ns |
Diabetes mellitus (n) | 9 (45%) | 9 (26%) | ns |
Chronic kidney disease (n) | 5 (25%) | 17 (49%) | ns |
Peripheral arterial disease (n) | 7 (35%) | 14 (40%) | ns |
Coronary artery disease (n) | 7 (35%) | 21 (60%) | ns |
Obstructive sleep apnea (n) | 6 (30%) | 13 (37%) | ns |
Chronic obstructive pulmonary disease (n) | 6 (30%) | 5 (14%) | ns |
Major bleeding (5-yrs pre-Watchman® implant) (n) | 13 (65%) | 16 (46%) | ns |
Stroke/Thrombo-embolism (5-yrs pre-Watchman® implant) (n) | 3 (15%) | 4 (11%) | ns |
CHA2DS2-VASc score | 5 ± 1.5 | 5.4 ± 1.4 | ns |
HAS-BLED score | 3.2 ± 1.3 | 3.3 ± 1.1 | ns |
Baseline echocardiography | |||
Left ventricular ejection fraction (%) | 54 ± 15 | 52 ± 13 | ns |
LA size (cm) | 4.3 ± 0.7 | 4.5 ± 0.8 | ns |
Medication use (5-yrs post-Watchman® implant) | |||
Anti-arrhythmic use (n) | 13 (65%) | 9 (26%) | 0.009 |
Length of anti-arrhythmic use (days) | 920 (478–1268) | 605 (346–1120) | ns |
Anti-coagulant use (n) | 7 (35%) | 4 (11%) | ns |
Length of anti-coagulant use (days) | 30 (28–42) | 398 (149–529) | 0.01 |
Watchman® Data | |||
Implanted Watchman® size (mm) | 27.6 ± 3.6 | 28.7 ± 3.3 | ns |
Patients with no peri-device leak (n) | 20 (100%) | 4 (89%) | ns |
Patients with device-related thrombus (n) | 0 (0%) | 1 (3%) | ns |
CIED data | |||
Pacemaker in situ (n) | 14 (70%) | 22 (63%) | ns |
Baseline ventricular pacing burden (%) | 20.75 (0.1–96.5) | 75.38 (5–99) | 0.04 |
Active rATP algorithm® (n) | 20 (100%) | 0 (0%) | < 0.001 |
Procedures (5-yrs post-Watchman® implant) | |||
Atrial fibrillation/flutter ablation (n) | 6 (30%) | 1 (3%) | 0.007 |
Elective cardioversion (n) | 8 (40%) | 2 (6%) | 0.002 |