TYPES OF RADIOFREQUENCY ABLATION AND CLINICAL SYMPTOMS IN PATIENTS WITH ATRIAL FIBRILLATION AND FLUTTER

T. V. Zolotarova, M. S. Brynza, O. V. Martynenko, D. E. Volkov

Abstract


The study involved 76 patients with atrial fibrillation and atrial flutter (AF/AFL) who were divided into groups depending on conducted surgery (radiofrequency ablation of pulmonary veins (RFA PV), cavo-tricuspid isthmus (CTI), a combined strategy (PV + CTI)). We evaluated the sex and age of patients, AF and AFL form, duration of AF/AFL, classification of AF / AFL by the different scales, stage and degree of hypertension (AT); types of coronary heart disease (CHD); diabetes mellitus type 2; acute cerebrovascular accident history; functional class and stage of chronic heart failure (FC CHF). The frequency distribution of basic cardiovascular diseases and their clinical signs are observed equally in patients with AF/AFL, regardless of the type of surgery carried out and they do not influence the choice of the latter. Male patients often held RFA CTI and women – RFA PV. Patients with persistent AF often require alternative treatments, especially catheter ablation of arrhythmic substrate.

Keywords


clinical features, atrial fibrillation and flutter, surgery, catheter ablation, cavo-tricuspid isthmus, pulmonary veins

Full Text:

PDF

References


2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC) [Electronic source] // European Heart Journal. – 2016. – Link: http://eurheartj.oxfordjournals.org/content/ehj/early/2016/09/08/eurheartj.ehw210.full.pdf

Rybalchenko I. Y. Prognostic significance criteria in assessment of the effectiveness of permanent atrial fibrillation control in different classes of QRS complex duration / I. Y. Rybalchenko, I. V. Soldatenko, L. O. Martіmyanova. // The Journal of V. N. Karazin Kharkiv National University, series Medicine. – 2011. – No. 22. – p. 54–58.

Radiofrequency ablation as initial therapy in paroxysmal atrial fibrillation / [Cosedis J, Johannessen A, Raatikainen P. et al.]. // The New England journal of medicine. – 2012. – No. 367. – p. 1587–1595.

Cardiovascular disease. Classification standards for diagnosis and treatment of cardiac patients / Edited by prof. V. N. Kovalenko, prof. M. I. Lutay. – Sci. M. Sirenko – K.: PP VMB, 2007. – Р. 128.

The QTc interval duration сlass and clinical features of patients with pacemakers in the acute postoperative period / M. S. Brynza, D. E. Volkov, D. A. Lopin, M. I. Yabluchansky. // The Journal of

V. N. Karazin Kharkiv National University, series Medicine. – 2013. – No. 25. – P. 29–36.

Atrial fibrillation inducibility during cavotricuspid isthmus-dependent atrial flutter ablation as a predictor of clinical atrial fibrillation [Electronic source] / [Romero J., Diaz J.C., Di Biase, L. et al.] // Journal of Interventional Cardiac Electrophysiology. – 2017. – Link: http://link.springer.com/article/10.1007%2Fs10840-016-0211-9/

Gender-related differences in presentation, treatment and long-term outcome in patients with first-diagnosed atrial fibrillation and structurally normal heart: the Belgrade atrial fibrillation study /

[T. S. Potpara, I. M. Marinkovic, M. M. Polovina et al.]. // International journal of cardiology. – 2012. – No. 161. – P. 39–44.

Mittal S. Differentiating Paroxysmal From Persistent Atrial Fibrillation / Suneet Mittal. // Journal of the American College of Cardiology. – 2014. – Vol. 63, Is. 25 – P. 2849–2851.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 The Journal of V. N. Karazin Kharkiv National University, series "Medicine"

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.