FUNCTIONAL CLASSES AND CLINICAL CHARACTERISTICS OF CHRONIC HEART FAILURE IN PATIENTS WITH ATRIAL FIBRILLATION AND/OR FLUTTER AFTER RADIOFREQUENCY ABLATION
Abstract
The combination of atrial fibrillation and/or flutter and chronic heart failure is a frequent problem for many patients. Radiofrequency ablation is effective in the strategy for controlling the rhythm of patients with atrial fibrillation and/or flutter, but always requires concomitant therapeutic support. The study involved 70 patients with atrial fibrillation and/or flutter after radiofrequency ablation which were divided into groups according to the functional class of chronic heart failure. Gender and age of patients; types of ischemic heart disease; stages of chronic heart failure; degrees of arterial hypertension; the form of atrial fibrillation and flutter; class EHRA; the presence of diabetes mellitus type 1 or 2 we evaluated. The female sex prevailed in the group of II functional class of chronic heart failure than in I functional class or III functional class. Ischemic heart disease, first of all angina of effort, in patients with III functional class of chronic heart failure was significantly more frequent. In group of III functional class of chronic heart failure there were significantly more patients with 3 degrees of arterial hypertension. Male patients, regardless of functional class of chronic heart failure, more often than females are conducted invasive methods of treatment for atrial fibrillation/flutter. With increasing of functional class of angina the functional class of chronic heart failure is increasing. Among patients II and III functional class of chronic heart failure prevails the arterial hypertension III degree, which may be a predictor of adverse prognosis.
Downloads
References
Kotecha D. Atrial fibrillation in heart failure: what should we do? / D. Kotecha, J. P. Piccini. // European Heart Journal. – 2015. – No. 36. – P. 3250–3257.
Clinical characteristics and prognostic impact of atrial fibrillation in patients with chronic heart failure [Electronic source] / [L. Gigli, P. Ameri, G. Secco et al.] // World journal of cardiology. – 2016. – Link: https://www.wjgnet.com/1949-8462/journal/v8/i11/index.htm.
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
2013 ESC Guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology (ESC) // Journal of Heart Failure. – 2013. – No. 34. – P. 2949–3003.
2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure of the European Society of Cardiology (ESC) // Journal of Heart Failure. – 2016. – No. 37. – P. 2129–2200.
Gender differences in clinical presentation and 1-year outcomes in atrial fibrillation / [R. B. Schnabel, L. Pecen, F. M. Ojeda et al.]. // British Cardiac Society. – 2017. – No. 103. – P. 1024–1030.
Corradi D. Atrial fibrillation from the pathologist’s perspective / Domenico Corradi. // Cardiovascular Pathology. – 2014. – No. 23. – P. 71–84.
Characteristics of coronary artery disease among patients with atrial fibrillation compared to patients with sinus rhythm [Electronic source] / [L. J. Motloch, S. Reda, R. Larbig et al.] // Hellenic Journal of Cardiology. – 2017. – Link: http://dx.doi.org/10.1016/j.hjc.2017.03.001.
Long-term survival following the development of heart failure in an elderly hypertensive population [Electronic source] / [B. W. Sahle, A. J. Owen, L. M. Wing et al.] // Cardiovascular Therapeutics. – 2017. – Link: http://onlinelibrary.wiley.com/doi/10.1111/1755-5922.12303/abstract;jsessionid=23E24499751AC29865AC14B77901DD71.f03t03.
Mittal S. Differentiating Paroxysmal From Persistent Atrial Fibrillation / Suneet Mittal. // Journal of the American College of Cardiology. – 2014. – No. 63. – P. 2849–2851.
Copyright (c) 2018 The Journal of V. N. Karazin Kharkiv National University, series "Medicine"
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal of V. N. Karazin Kharkiv National University, series Medicine has following copyright terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work, with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
