Following the Patient-From Referral to Catheter Ablation to Home: A Qualitative Study Describing and Explaining Experiences From Patients Diagnosed With Atrial Fibrillation

BACKGROUND: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is associated with substantial symptom burden and reduced quality of life. Catheter ablation is increasingly used; however, patients' experiences across the treatment trajectory remain underexplored.

OBJECTIVE: To describe and explain patients' experiences from referral to catheter ablation for AF to 4 months after the procedure.

METHODS: In this qualitative study, we used semistructured interviews with patients undergoing catheter ablation for AF. Interviews addressed experiences of referral, treatment, recovery, and follow-up. Data were analyzed using qualitative content analysis.

RESULTS: Our analysis revealed 6 categories describing patients' experiences throughout the ablation trajectory: (1) Relational care is a pivotal cornerstone; (2) Communication creates a sense of security when individualized; (3) Recovery is a balance between caution and the desire for normality; (4) Ablation gives rise to concerns; (5) A well-planned and structured postablation pathway is needed; and (6) Waiting time creates unnecessary gaps. Two explanatory themes were revealed: "Navigating the emotional terrain of ablation through professional support and communication is needed, highlighting the need for organizational structures and professional support throughout the ablation pathway"; and "Living with uncertainty-Patient perspectives on recovery, expectations, and emotional responses, reflecting ongoing concerns before and after ablation".

CONCLUSIONS: The findings underscore the importance of consistent involvement of healthcare professionals throughout the AF ablation trajectory. Coordinated, person-centered information, and a structured postablation follow-up pathway may address patient concerns, reduce uncertainty, and support recovery. Strengthening coordination and continuity of care appears essential to improving patient experiences.