Six-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centre
Background/Aim. Numerous trials have shown a high success of radiofrequency ablation (RFA) in the treatment of the patients with cardiac arrhythmias. We aimed to examine the RFA initial success in treatment of different cardiac arrhythmias and the RFA success after 6 months of followup. Second aim w...
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| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2019-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700109J.pdf |
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| author | Jurčević-Mudrić Ružica Angelkov Lazar Tomović Milosav Kojić Dejan Milojević Predrag |
| author_facet | Jurčević-Mudrić Ružica Angelkov Lazar Tomović Milosav Kojić Dejan Milojević Predrag |
| author_sort | Jurčević-Mudrić Ružica |
| collection | DOAJ |
| description | Background/Aim. Numerous trials have shown a high success of radiofrequency ablation (RFA) in the treatment of the patients with cardiac arrhythmias. We aimed to examine the RFA initial success in treatment of different cardiac arrhythmias and the RFA success after 6 months of followup. Second aim was to evaluate influence of all clinical and echocardiography parameters on initial and 6-month success and failure of RFA. Methods. The present study included 320 consecutive patients with atrial and ventricular arrhythmias in which RFA was performed during 2014 in the Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia. We evaluated the initial RFA success and success of this procedure after 6-month follow-up. We also investigated the prognostic role of clinical and echocardiography parameters on initial and 6-month success and failure of RFA. Results. The RFA initial success for RFA of atrioventriculas (AV) node and AV nodal reentrant tachycardia (AVNRT) was 100%, RFA of pulmonary veins 99%, RFA of atrial flutter 92%, RFA of premature ventricular complexes (PVC) and the Wolf-Parkinson-White (WPW) syndrome 87%, RFA of ventricular tachycardia 85% and RFA of atrial tachycardia 78%. The success of RFA after 6 months of follow-up for RFA of the AV node was 100%, RFA of AVNRT 94%, RFA of atrial flutter 90%, RFA of WPW syndrome 86%, RFA of pulmonary veins 79% (paroxysmal atrial fibrillation 88% and persistent atrial fibrillation 63% with a significant difference p < 0.05), RFA of PVC 78%, RFA of ventricular tachycardia 77% and RFA of atrial tachycardia 67%. Conclusion. This study proved a very high RFA initial success in treatment of cardiac arrhythmias and a satisfactory RFA success after 6 months of follow-up. Only the prognostic value had the type of atrial fibrillation in the group with catheter ablated pulmonary veins: after 6-month follow-up, the patients with paroxysmal atrial fibrillation had a significantly better outcome than those with persistent form. |
| format | Article |
| id | doaj-art-97f63a28bdbd4429a05f5c5b56f2698e |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-97f63a28bdbd4429a05f5c5b56f2698e2025-08-20T03:20:38ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176439840310.2298/VSP170125109J0042-84501700109JSix-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centreJurčević-Mudrić Ružica0Angelkov Lazar1Tomović Milosav2Kojić Dejan3Milojević Predrag4Institute for Cardiovascular Diseases "Dedinje", BelgradeInstitute for Cardiovascular Diseases "Dedinje", BelgradeInstitute for Cardiovascular Diseases "Dedinje", BelgradeInstitute for Cardiovascular Diseases "Dedinje", BelgradeInstitute for Cardiovascular Diseases "Dedinje", BelgradeBackground/Aim. Numerous trials have shown a high success of radiofrequency ablation (RFA) in the treatment of the patients with cardiac arrhythmias. We aimed to examine the RFA initial success in treatment of different cardiac arrhythmias and the RFA success after 6 months of followup. Second aim was to evaluate influence of all clinical and echocardiography parameters on initial and 6-month success and failure of RFA. Methods. The present study included 320 consecutive patients with atrial and ventricular arrhythmias in which RFA was performed during 2014 in the Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia. We evaluated the initial RFA success and success of this procedure after 6-month follow-up. We also investigated the prognostic role of clinical and echocardiography parameters on initial and 6-month success and failure of RFA. Results. The RFA initial success for RFA of atrioventriculas (AV) node and AV nodal reentrant tachycardia (AVNRT) was 100%, RFA of pulmonary veins 99%, RFA of atrial flutter 92%, RFA of premature ventricular complexes (PVC) and the Wolf-Parkinson-White (WPW) syndrome 87%, RFA of ventricular tachycardia 85% and RFA of atrial tachycardia 78%. The success of RFA after 6 months of follow-up for RFA of the AV node was 100%, RFA of AVNRT 94%, RFA of atrial flutter 90%, RFA of WPW syndrome 86%, RFA of pulmonary veins 79% (paroxysmal atrial fibrillation 88% and persistent atrial fibrillation 63% with a significant difference p < 0.05), RFA of PVC 78%, RFA of ventricular tachycardia 77% and RFA of atrial tachycardia 67%. Conclusion. This study proved a very high RFA initial success in treatment of cardiac arrhythmias and a satisfactory RFA success after 6 months of follow-up. Only the prognostic value had the type of atrial fibrillation in the group with catheter ablated pulmonary veins: after 6-month follow-up, the patients with paroxysmal atrial fibrillation had a significantly better outcome than those with persistent form.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700109J.pdfarrhythmias, cardiaccatheter ablationelectrocardiographyrecurrenceserbia |
| spellingShingle | Jurčević-Mudrić Ružica Angelkov Lazar Tomović Milosav Kojić Dejan Milojević Predrag Six-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centre Vojnosanitetski Pregled arrhythmias, cardiac catheter ablation electrocardiography recurrence serbia |
| title | Six-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centre |
| title_full | Six-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centre |
| title_fullStr | Six-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centre |
| title_full_unstemmed | Six-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centre |
| title_short | Six-months success of radiofrequency ablation in cardiac arrhythmias treatment: Experience of our centre |
| title_sort | six months success of radiofrequency ablation in cardiac arrhythmias treatment experience of our centre |
| topic | arrhythmias, cardiac catheter ablation electrocardiography recurrence serbia |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700109J.pdf |
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