PARAMETERS OF THE HEMODYNAMIC AFTER ABLATION ATRIAL FIBRILLATION AND/OR FLUTTER DEPENDING ON THE FUNCTIONAL CLASS OF CHRONIC HEART FAILURE
Abstract
Evaluated parameters of the hemodynamic before and after ablation atrial fibrillation and/or flutter depending on the functional class of chronic heart failure in 74 patients. It was found that patients with the I functional class of chronic heart failure have significantly lower left atrium size compared to III functional class, which is associated with the better efficiency of the radiofrequency ablation in the remote period. Patients with the I and III functional class of chronic heart failure are having increasement of QTc duration in acute period of radiofrequency ablation that could be used as an independent predictor of arrhythmia recurrence. Patients with the I functional class chronic heart failure who failed drug therapy for atrial fibrillation and/or flutter alternative treatment in the form of the radiofrequency ablation should be considered as choice therapy.
The levels of heart rate and pulse decreases in I and III functional class of the chronic heart failure in the acute period radiofrequency ablation; systolic and diastolic blood pressure, QRS, left ventricle end-diastolic and left ventricle end-systolic diameter do not change after radiofrequency ablation.
Patient I and III functional class of the chronic heart failure are having increasement of QTc duration in acute period of radiofrequency ablation that could be used as an independent predictor of arrhythmia recurrence.
Patients with I functional class of the chronic heart failure have significantly lower left atrium size compared to III functional class of the chronic heart failure, which is associated with the best outcome of effectiveness of radiofrequency ablation in the late period.
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References
Luong C. Atrial Fibrillation and Heart Failure: Cause or Effect? / C. Luong, M. Barnes, T. Tsang. // Current Heart Failure Reports. – 2014. – No. 11. – p. 463–470.
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
Worldwide Epidemiology of Atrial Fibrillation: A Global Burden of Disease 2010 Study / [S. Chugh, R. Havmoeller, K. Narayanan et al.]. // Circulation. – 2013. – No. 129. – P. 837–847.
Estimates of Current and Future Incidence and Prevalence of Atrial Fibrillation in the U.S. Adult Population / [S. Colilla, A. Crow, W. Petkun et al.]. // The American Journal of Cardiology. – 2013. – No. 112. – P. 1142–1147.
Common atrial fibrillation risk alleles at 4q25 predict recurrence after catheter-based atrial fibrillation ablation / [M. Shoemaker, R. Muhammad, B. Parvez et al.]. // Heart Rhythm. – 2013. – No. 10. – P. 394– 400.
Radiofrequency catheter ablation is effective for atrial fibrillation patients with hypertrophic cardiomyopathy by decreasing left atrial pressure / [I. Hiroki, N. Yukiko, O. Noboru et al.]. // Journal of Arrhythmia. – 2017. – No. 33. – P. 256–261.
Right Atrial Volume Is Superior to Left Atrial Volume for Prediction of Atrial Fibrillation Recurrence After Direct Current Cardioversion / [C. Luong, D. J. Thompson, M. Bennett et al.]. // The Canadian journal of cardiology. – 2015. – No. 31. – P. 29–35.
The association of chronic atrial fibrillation with right atrial dilatation and left ventricular dysfunction in the elderly / H.Xiao, S. Rizvi, D. McCrea, B. Kaufman. // Medical science monitor: international medical journal of experimental and clinical research. – 2004. – No. 10. – P. 16–20.
Good responders to catheter ablation for long-standing persistent atrial fibrillation: Clinical and genetic characteristics / [Park J., Lee J., Yang P. et al.]. // Journal of Сardiology. – 2017. – No. 69. – P. 584–590.
Functional class of chronic heart failure and clinical features of patients with permanent pacemakers / I. M. Kolomytseva, D. E. Volkov, D. O. Lopin, M. I. Yabluchansky. // The Journal of V. N. Karazin Kharkiv National University, series «Medicine». – 2014. – No. 27. – P. 5–9.
Associations between cardiac fibrosis and permanent atrial fibrillation in advanced heart failure. / [B. Aldhoon, T. Kučera, N. Smorodinová et al.]. // Physiological research. – 2013. – No. 62. – P. 247–255.
Right atrial indexed volume in healthy adult population: reference values for two-dimensional and threedimensional echocardiographic measurements / [J. Moreno, L. Perez de Isla, N. Campos et al.]. // Echocardiography. – 2013. – No. 30. – P. 667–671.
Genetic loci associated with atrial fibrillation: relation to left atrial structure in the Framingham Heart Study / [J. Magnani, X. Yin, D. McManus et al.]. // Journal of the American Heart Association. – 2014. – No. 3. – P. e000616–e000616.
QTc interval predicts outcome of catheter ablation in paroxysmal atrial fibrillation patients with type 2 diabetes mellitus / Ning Ma, Xiao-yan Wu, Chang-sheng Ma et al.]. // Journal of Huazhong University of Science and Technology. – 2016. – No. 36(5). – P. 646–652.
Functional parameters of blood circulation in first three months after radiofrequency ablation of atrial fibrillation and flutter / [M. Brynza, A. Bilchenko, E. Makharynska et al.]. // Georgian medical news. – 2018. – No. 279. – P. 73–79.
The QT interval as a Noninvasive Marker of Atrial Refractoriness / [K. Nguyen, R. Gladstone, J. Dukes et al.]. // Pacing and clinical electrophysiology. – 2016. – No. 39(12). – P. 1366–1372.
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