Table 1

Population characteristics in London and California

VariableLondonCaliforniaP value
Per patientPer patient
(n=361)(n=619)
Age (years, mean±SD)60±1163±100.001*
Female sex98 (27)153 (25)0.401
Body mass index (kg/m2, mean±SD)29±630±50.133
Long-standing persistent AF (>1 year)105 (29)157 (25)0.204
Left atrial diameter (mm, mean±SD)†47±845±7<0.0001*
Left ventricular function<0.0001*
 Normal232 (64)448 (72)
 Mildly impaired50 (14)122 (20)
 Moderately impaired38 (11)33 (5)
 Severely impaired41 (11)16 (3)
Valvular heart disease‡38 (11)49 (8)0.166
Extreme comorbidity§39 (11)27 (4)0.0001*
Hypertension105 (29)318 (51)<0.0001*
Diabetes mellitus29 (8)67 (11)0.156
Coronary artery disease53 (15)90 (15)1.000
Thyrotoxicosis within the last year¶11 (3)13 (2)0.355
Pulmonary disease10 (3)38 (6)0.002*
Stroke or TIA21 (6)48 (6)0.253
Renal dysfunction5 (1)N/AN/A
Previous antiarrhythmic drugs (median(IQR))**1 (0–1)1 (1–2)<0.0001*
Previous use of amiodarone115 (32)209 (34)0.540
FLAME score (mean±SD)2.9±1.72.5±1.6<0.0001*
Per procedurePer patient
(n=416)(n=619)
Follow-up (months, mean±SD/median (IQR))12±325 (12–50)<0.0001*
  • Values shown are number (%) unless otherwise indicated. Per patient values are calculated at the time of a patient’s first procedure.

  • *Statistically significant p<0.05.

  • †Transthoracic echocardiographic left parasternal long axis anteroposterior diameter at end-systole.

  • ‡Moderate or greater stenosis or regurgitation, replacement or repair of any left-sided valve.

  • §See figure 1 for definition

  • ¶Thyrotoxic within the last year.

  • **Class I or III agents.

  • AF, atrial fibrillation; FLAME, Female, Long-lasting, Atrial diameter, Mitral, Extreme; N/A, not available; TIA, transient ischaemic attack.