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| Description
| - Catheter ablation (CA) has become standard therapy for atrial fibrillation, especially for paroxysmal atrial fibrillation. Precise single center follow-up (FU) data (especially long-term FU data) are published infrequently. Methods: We studied 303 consecutive patients (172 males, 131 females, mean age 57 years) who underwent catheter ablation for atrial fibrillation (489 procedures) in years 2004-2012. Clinical examination, ECG, 24-h or 7-day Holter monitoring and quality of life (QoL) measurement (EQ-5D) was performed at 3, 6, 12, 18 and 24-month FU. Results: FU data longer than 6 month after the first procedure are available for 135 patients with paroxysmal, 84 patients with persistent and 48 patients with longstanding persistent AF. The success rate after 6 month after the first procedure (sinus rhythm without AA drugs, no arrhythmias) was 48% for paroxysmal, 43% for persistent and 44% for longstanding persistent AF. The complication rate was 3.3% (16 patients, no deaths, no pulmonary vein stenosis, 5 incidents of pericardial effusion treated with pericardiocentesis; 1 transitory ischemic attack; the remainder were local complications in the groin). The success rate after the last procedure (mean FU 24+-16 month, 1.6 procedure per patient) was 80% for paroxysmal and 58% for persistent and longstanding persistent AF. QoL increased significantly in all groups of patients. Conclusion: With the standard procedure we can achieve acceptable results (success rate 60-80% with repeated procedures) with low complication rate even in a %22lower volume%22 center. In selected patients (with paroxysmal AF preferring interventional treatment) can be CA recommended as first-line therapy for rhythm control. CA improves QoL in our patients with AF. As there is no gold standard to measure QoL in AF patients, EQ-5D seems to be a simple, quick and useful tool. (C) 2012 The Czech Society of Cardiology.
- Catheter ablation (CA) has become standard therapy for atrial fibrillation, especially for paroxysmal atrial fibrillation. Precise single center follow-up (FU) data (especially long-term FU data) are published infrequently. Methods: We studied 303 consecutive patients (172 males, 131 females, mean age 57 years) who underwent catheter ablation for atrial fibrillation (489 procedures) in years 2004-2012. Clinical examination, ECG, 24-h or 7-day Holter monitoring and quality of life (QoL) measurement (EQ-5D) was performed at 3, 6, 12, 18 and 24-month FU. Results: FU data longer than 6 month after the first procedure are available for 135 patients with paroxysmal, 84 patients with persistent and 48 patients with longstanding persistent AF. The success rate after 6 month after the first procedure (sinus rhythm without AA drugs, no arrhythmias) was 48% for paroxysmal, 43% for persistent and 44% for longstanding persistent AF. The complication rate was 3.3% (16 patients, no deaths, no pulmonary vein stenosis, 5 incidents of pericardial effusion treated with pericardiocentesis; 1 transitory ischemic attack; the remainder were local complications in the groin). The success rate after the last procedure (mean FU 24+-16 month, 1.6 procedure per patient) was 80% for paroxysmal and 58% for persistent and longstanding persistent AF. QoL increased significantly in all groups of patients. Conclusion: With the standard procedure we can achieve acceptable results (success rate 60-80% with repeated procedures) with low complication rate even in a %22lower volume%22 center. In selected patients (with paroxysmal AF preferring interventional treatment) can be CA recommended as first-line therapy for rhythm control. CA improves QoL in our patients with AF. As there is no gold standard to measure QoL in AF patients, EQ-5D seems to be a simple, quick and useful tool. (C) 2012 The Czech Society of Cardiology. (en)
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| Title
| - Catheter ablation for atrial fibrillation-Single center experience
- Catheter ablation for atrial fibrillation-Single center experience (en)
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| skos:prefLabel
| - Catheter ablation for atrial fibrillation-Single center experience
- Catheter ablation for atrial fibrillation-Single center experience (en)
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| skos:notation
| - RIV/00179906:_____/12:10129662!RIV13-MZ0-00179906
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| http://linked.open...avai/predkladatel
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| http://linked.open...avai/riv/aktivita
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| http://linked.open...avai/riv/aktivity
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| http://linked.open...iv/cisloPeriodika
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| http://linked.open...vai/riv/dodaniDat
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| http://linked.open...aciTvurceVysledku
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| http://linked.open.../riv/druhVysledku
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| http://linked.open...iv/duvernostUdaju
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| http://linked.open...titaPredkladatele
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| http://linked.open...dnocenehoVysledku
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| http://linked.open...ai/riv/idVysledku
| - RIV/00179906:_____/12:10129662
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| http://linked.open...riv/jazykVysledku
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| http://linked.open.../riv/klicovaSlova
| - Quality of life; Catheter ablation; Atrial fibrillation (en)
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| http://linked.open.../riv/klicoveSlovo
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| http://linked.open...odStatuVydavatele
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| http://linked.open...ontrolniKodProRIV
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| http://linked.open...i/riv/nazevZdroje
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| http://linked.open...in/vavai/riv/obor
| |
| http://linked.open...ichTvurcuVysledku
| |
| http://linked.open...cetTvurcuVysledku
| |
| http://linked.open...UplatneniVysledku
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| http://linked.open...v/svazekPeriodika
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| http://linked.open...iv/tvurceVysledku
| - Haman, Luděk
- Pařízek, Petr
- Dostálová, Hana
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| issn
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| number of pages
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| http://bibframe.org/vocab/doi
| - 10.1016/j.crvasa.2012.11.007
|
| is http://linked.open...avai/riv/vysledek
of | |
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