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June 14, 2026Clinical Interventions in AgingOpen Access

A higher SPISE index is significantly associated with a reduced risk of atrial fibrillation recurrence after radiofrequency ablation in elderly patients (HR 0.661).

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Key result

A higher SPISE index is significantly associated with a reduced risk of atrial fibrillation recurrence after radiofrequency ablation in elderly patients (HR 0.661).

Authors

ZWZi WangYQYilin QuHWHua Wang

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Overview

May support SPISE for post-ablation AF risk stratification in elderly patients; hypothesis-generating and requires prospective validation.

Key Points

  • This research examines how the SPISE index might predict recurring atrial fibrillation in elderly patients after treatment.
  • Investigated the association of the SPISE index with atrial fibrillation recurrence post-radiofrequency ablation.
  • Target population included elderly patients undergoing treatment for atrial fibrillation.
  • Higher SPISE index values were linked to a lower risk of atrial fibrillation recurrence post-ablation.
  • The study suggests a potential use of SPISE index as a prognostic tool in clinical settings.

Study Design

Type

Cohort (n=529)

Multicenter

No

PICO

P
Population
529 elderly patients aged 65 and older with atrial fibrillation who underwent radiofrequency ablation, evaluated for the association between baseline SPISE index and arrhythmia recurrence.
E
Exposure / Comparator
SPISE index vs Lower SPISE index
O
Primary Outcome
Atrial fibrillation recurrence — HR 0.661 (0.579-0.755), p=<0.001

Main Result

Hazard Ratio: 0.661 (95% CI 0.579–0.755)

p-value: p=<0.001

Limitations

  • Small sample size
  • Single-center retrospective design

Cite This Study

Wang et al. (2026) conducted a cohort in Atrial fibrillation (n=529). SPISE index vs. Lower SPISE index was evaluated on Atrial fibrillation recurrence (HR 0.661, 95% CI 0.579-0.755, p=<0.001). A higher SPISE index is significantly associated with a reduced risk of atrial fibrillation recurrence after radiofrequency ablation in elderly patients (HR 0.661).

synapsesocial.com/papers/6a2e4bc0b1cc60ccdea8caafhttps://doi.org/10.2147/cia.s608687
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