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Titolo:
SHORT AND MEDIUM-TERM OUTCOME AFTER RADIO FREQUENCY ABLATION OF THE ATRIOVENTRICULAR JUNCTION
Autore:
MANSOURATI J; DEHARO JC; GRAUX P; CHAPPUIS L; DURIEU C; DUTOIT A; GUILLO P; DJIANE P; BLANC JJ;
Indirizzi:
CHU BREST,HOP CAVALE BLANCHE,DEPT CARDIOL F-29609 BREST FRANCE CHU MARSEILLE,HOP ST MARGUERITE,SERV CARDIOL F-13009 MARSEILLE FRANCE HOP ST PHILIBERT,FAC LIBRE MED LILLE,SERV CARDIOL F-59160 LOMME LES LILLE FRANCE
Titolo Testata:
Archives des maladies du coeur et des vaisseaux
fascicolo: 7, volume: 90, anno: 1997,
pagine: 945 - 951
SICI:
0003-9683(1997)90:7<945:SAMOAR>2.0.ZU;2-5
Fonte:
ISI
Lingua:
FRE
Soggetto:
CHRONIC ATRIAL-FIBRILLATION; HIS-BUNDLE ABLATION; CATHETER ABLATION; CARDIAC-PERFORMANCE; ENERGY; ARRHYTHMIAS; FLUTTER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
J. Mansourati et al., "SHORT AND MEDIUM-TERM OUTCOME AFTER RADIO FREQUENCY ABLATION OF THE ATRIOVENTRICULAR JUNCTION", Archives des maladies du coeur et des vaisseaux, 90(7), 1997, pp. 945-951

Abstract

The aim of this retrospective study was to assess short and long-termmortality and morbidity after radiofrequency ablation of the atrioventricular junction in patients with supraventricular arrhythmias resistant to treatment. This cooperative series included 91 patients (47 men, mean age 68 +/- 9 years). The arrhythmia was paroxysmal in 56 % of cases. The mean duration of symptoms was 67 +/- 61 months and 45 patients (49.4 %) were in the NYHA Classes ill and IV. An escape rhythm was present in 58 patients with a mean frequency of 39 +/- 9/min. Early complications were observed in 5 patients (venous thromboses, pulmonary embolism, mild pericardial effusion and haemothorax). The hospital mortality was 4 patients (4.4 %). Death was of cardiac origin in 1 case (cardiac failure). The mean follow-up of patients was 14.5 +/- 8.6 months. Eleven patients died during this period, 8 of cardiac causes : cardiac failure (3 cases), sudden death (3 cases), thrombosis of a valve prosthesis (1 patient) and major electrolyte disturbances causing lossof stimulation in 1 case. Six patients had recurrences. Long-term morbidity was either related to cardiac pacing (3 cases) or cardiac failure (3 cases), Thirteen patients were in NYHA Classes III or IV at the end of follow-up. The authors conclude that radiofrequency ablation atthe atrioventricular junction is an effective method of treating resistant supraventricular arrhythmias. Complications are not frequent butmortality appears to be high, probably due to the presence of advanced cardiac disease in the majority of cases. Sudden death seems to be rare and unrelated to pacing defects.

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Documento generato il 02/04/20 alle ore 02:30:33