Yangyang Wang, Jingchao He, Yang Shao, Tong Liu, Aolin Ding, Guohua Xue, Yubing Guo, Pengyu Wu, Yunfei Gu, Hao Wang
{"title":"真实世界心脏病专家表现（RWCP）评分对射频消融后房颤复发风险的预测价值","authors":"Yangyang Wang, Jingchao He, Yang Shao, Tong Liu, Aolin Ding, Guohua Xue, Yubing Guo, Pengyu Wu, Yunfei Gu, Hao Wang","doi":"10.1111/jce.70067","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore the predictive value of Real-world Cardiologist Performance (RWCP) score for atrial fibrillation (AF) recurrence risk after radiofrequency catheter ablation (RFCA).</p><p><strong>Methods: </strong>Patients with nonvalvular AF who underwent first-time RFCA at Luoyang Central Hospital affiliated to Zhengzhou University between October 2021 and June 2023 were included in this study. Detailed ablation data were exported from CARTO®3 system (Biosense Webster, USA), based on which, four parameters, including discharge time proportion, Catheter Contact Force Stability (C3-FOT proportion), Ablation Index Consistency (SURPOINT/TOP-4 proportion) and fragmented points proportion, were calculated. Then, the RWCP score was calculated from these parameters for each patient. Predictive value of the RWCP score for AF recurrence risk were assessed using Cox regression and Kaplan-Meier analyses.</p><p><strong>Results: </strong>A total of 148 AF patients were enrolled, including 68 males and 80 females. During follow-up, 30 patients (20.3%) experienced AF recurrence. The RWCP score was calculated using Cox regression coefficients: RWCP score = (left ring discharge time ratio × 2.853) - (left C3-FOT proportion × 0.91) + (left SURPOINT/TOP4 × 2.943) + (left fragmented points proportion × 0.423) - (right ring discharge time ratio × 4.039) - (right C3-FOT proportion × 6.159) - (right SURPOINT/TOP4 × 1.312) - (right points fragmented proportion × 4.425). It was found that patients with higher RWCP scores (-12.53 to 5.79) had higher recurrence risk than those with low scores (-28.68 to -12.76) (HR = 5.55, 95% CI: 2.23-13.80, p = 0.0002). Kaplan-Meier analysis confirmed this (p<sub>log-rank</sub> < 0.001). To simplify the operation of RWCP, an online calculator was explored using shiny platform (https://doctorwanghao.shinyapps.io/RWCP_English/).</p><p><strong>Conclusion: </strong>The RWCP score shows promise as a tool for evaluating ablation completeness, assessing cardiologist performance and predicting AF recurrence risk after ablation.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Predictive Value of Real-World Cardiologist Performance (RWCP) Score in Atrial Fibrillation Recurrence Risk After Radiofrequency Ablation.\",\"authors\":\"Yangyang Wang, Jingchao He, Yang Shao, Tong Liu, Aolin Ding, Guohua Xue, Yubing Guo, Pengyu Wu, Yunfei Gu, Hao Wang\",\"doi\":\"10.1111/jce.70067\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore the predictive value of Real-world Cardiologist Performance (RWCP) score for atrial fibrillation (AF) recurrence risk after radiofrequency catheter ablation (RFCA).</p><p><strong>Methods: </strong>Patients with nonvalvular AF who underwent first-time RFCA at Luoyang Central Hospital affiliated to Zhengzhou University between October 2021 and June 2023 were included in this study. Detailed ablation data were exported from CARTO®3 system (Biosense Webster, USA), based on which, four parameters, including discharge time proportion, Catheter Contact Force Stability (C3-FOT proportion), Ablation Index Consistency (SURPOINT/TOP-4 proportion) and fragmented points proportion, were calculated. Then, the RWCP score was calculated from these parameters for each patient. Predictive value of the RWCP score for AF recurrence risk were assessed using Cox regression and Kaplan-Meier analyses.</p><p><strong>Results: </strong>A total of 148 AF patients were enrolled, including 68 males and 80 females. During follow-up, 30 patients (20.3%) experienced AF recurrence. The RWCP score was calculated using Cox regression coefficients: RWCP score = (left ring discharge time ratio × 2.853) - (left C3-FOT proportion × 0.91) + (left SURPOINT/TOP4 × 2.943) + (left fragmented points proportion × 0.423) - (right ring discharge time ratio × 4.039) - (right C3-FOT proportion × 6.159) - (right SURPOINT/TOP4 × 1.312) - (right points fragmented proportion × 4.425). It was found that patients with higher RWCP scores (-12.53 to 5.79) had higher recurrence risk than those with low scores (-28.68 to -12.76) (HR = 5.55, 95% CI: 2.23-13.80, p = 0.0002). Kaplan-Meier analysis confirmed this (p<sub>log-rank</sub> < 0.001). To simplify the operation of RWCP, an online calculator was explored using shiny platform (https://doctorwanghao.shinyapps.io/RWCP_English/).</p><p><strong>Conclusion: </strong>The RWCP score shows promise as a tool for evaluating ablation completeness, assessing cardiologist performance and predicting AF recurrence risk after ablation.</p>\",\"PeriodicalId\":15178,\"journal\":{\"name\":\"Journal of Cardiovascular Electrophysiology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Cardiovascular Electrophysiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jce.70067\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cardiovascular Electrophysiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jce.70067","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
The Predictive Value of Real-World Cardiologist Performance (RWCP) Score in Atrial Fibrillation Recurrence Risk After Radiofrequency Ablation.
Objective: To explore the predictive value of Real-world Cardiologist Performance (RWCP) score for atrial fibrillation (AF) recurrence risk after radiofrequency catheter ablation (RFCA).
Methods: Patients with nonvalvular AF who underwent first-time RFCA at Luoyang Central Hospital affiliated to Zhengzhou University between October 2021 and June 2023 were included in this study. Detailed ablation data were exported from CARTO®3 system (Biosense Webster, USA), based on which, four parameters, including discharge time proportion, Catheter Contact Force Stability (C3-FOT proportion), Ablation Index Consistency (SURPOINT/TOP-4 proportion) and fragmented points proportion, were calculated. Then, the RWCP score was calculated from these parameters for each patient. Predictive value of the RWCP score for AF recurrence risk were assessed using Cox regression and Kaplan-Meier analyses.
Results: A total of 148 AF patients were enrolled, including 68 males and 80 females. During follow-up, 30 patients (20.3%) experienced AF recurrence. The RWCP score was calculated using Cox regression coefficients: RWCP score = (left ring discharge time ratio × 2.853) - (left C3-FOT proportion × 0.91) + (left SURPOINT/TOP4 × 2.943) + (left fragmented points proportion × 0.423) - (right ring discharge time ratio × 4.039) - (right C3-FOT proportion × 6.159) - (right SURPOINT/TOP4 × 1.312) - (right points fragmented proportion × 4.425). It was found that patients with higher RWCP scores (-12.53 to 5.79) had higher recurrence risk than those with low scores (-28.68 to -12.76) (HR = 5.55, 95% CI: 2.23-13.80, p = 0.0002). Kaplan-Meier analysis confirmed this (plog-rank < 0.001). To simplify the operation of RWCP, an online calculator was explored using shiny platform (https://doctorwanghao.shinyapps.io/RWCP_English/).
Conclusion: The RWCP score shows promise as a tool for evaluating ablation completeness, assessing cardiologist performance and predicting AF recurrence risk after ablation.
期刊介绍：
Journal of Cardiovascular Electrophysiology (JCE) keeps its readership well informed of the latest developments in the study and management of arrhythmic disorders. Edited by Bradley P. Knight, M.D., and a distinguished international editorial board, JCE is the leading journal devoted to the study of the electrophysiology of the heart.
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