HEART RATE VARIABILITY IN PAROXISMAL ATRIAL FIBRILLATION BEFORE AND AFTER CATHETER ABLATION AT AN EXAMPLE OF CLINICAL CASE
Abstract
Changes in heart rate variability (HRV) before and after catheter radiofrequency ablation (RFA) of pulmonary veins in paroxysmal atrial fibrillation (AF) are considered at an example of clinical case. Initially low HRV in patients after ablation halved, which can lead to increased frequency and extension of AF paroxysms. In the accompanied medication, which included bisoprolol, valsartan, atorvastatin and rivaroxaban, to increase HRV were proposed increasing the dose of bisoprolol or search for more effective beta blocker.
The initial low TP spectrum of HRV in patients after RFA reduced by half, which can lead to increased frequency and extension of paroxysmal AF [1–2, 4]. In the accompanied medication, which included bisoprolol, valsartan, atorvastatin and rivaroksaban, to increase HRV were proposed increasing of bisoprolol dose and with no results – search for another beta blocker.
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References
Dinamika pokazateley variabelnosti serdechnogo ritma do i posle radiochastotnoy ablatsii legochnyih ven i levogo predserdiya u patsientov s fibrillyatsiey predserdiy/ N. V. Sichinava [et al.]// Annalyi aritmologii. – 2009. –No 2.-P.63–73
Martimyanova L. A. General cardiovascular risk and the clinical condition of patients with atrial fibrillation / Martimyanova L. A. // The Journal of V. N. Karazin Kharkiv National University. Series «Medicine».– 2015. –- 1154 (Issue 29). – P. 45–48
Yabluchanskiy M. I. Internal diseases: the time of global somatic risk. / M. I. Yabluchanskiy, A. M. Yabluchanskiy, O. Y. Bychkova [et al.] // The Journal of V. N. Karazin Kharkiv National University. Series «Medicine». – 2013. – 1044 (Issue 25). – P. 5–7.
Long-term changes in heart rate variability after radiofrequency catheter ablation for atrial fibrillation: 1-year follow-up study with irrigation tip catheter. / Kang KW [et al.]//Journal of Cardiovasc Electrophysiology. – 2014. –No 25(7). – P. 693–700.
Sychev O. S. Fibrillyatsiya predserdiy. Sovremennyie podhodyi k lecheniyu i profilaktike oslozhneniy u patsientov s soputstvuyuschey patologiey serdtsa/ Sychev O. S. // Ukrainskiy meditsinskiy zhurnal – 2011. – 6 (86) XI–XII.
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) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC Endorsed by the European Stroke Organisation (ESO)// European Heart Journal. – 2016. –Р. 90.
Yabluchanskiy N. I. Heart rate variability for the practitioner [electronic resource] / N. I. Yabluchanskiy, A. V. Martynenko // Access mode: http://dspace.univer.kharkov.ua/handle/123456789/1462.
Heart rate variability. Standards of Measurement, Physiological Interpretation and Clinical Use. –Circulation. – 1996. –No 93. p. 43–65.
Implementation of biofeedback in a closed loop of heart rate variability and paced breathing in patient with arterial hypertension/ O. L. Kulik [et al.] // The Journal of V. N. Karazin Kharkiv National University. Series «Medicine».– 2014. – 1108 (Issue 27). – P. 10–15.
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