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Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient Cohort
Introduction: The ablation of supraventricular tachycardias (SVT) using radiofrequency energy (RF) is a procedure with a high primary success rate. However, there is a scarcity of data regarding the long term outcome, particularly with respect to quality of life (QoL). Methods and Results: In this r...
Autores principales: | , , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Ivyspring International Publisher
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2628552/ https://www.ncbi.nlm.nih.gov/pubmed/19158961 |
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author | Meissner, Axel Stifoudi, Irini Weismüller, Peter Schrage, Max-Olav Maagh, Petra Christ, Martin Butz, Thomas Trappe, Hans-Joachim Plehn, Gunnar |
author_facet | Meissner, Axel Stifoudi, Irini Weismüller, Peter Schrage, Max-Olav Maagh, Petra Christ, Martin Butz, Thomas Trappe, Hans-Joachim Plehn, Gunnar |
author_sort | Meissner, Axel |
collection | PubMed |
description | Introduction: The ablation of supraventricular tachycardias (SVT) using radiofrequency energy (RF) is a procedure with a high primary success rate. However, there is a scarcity of data regarding the long term outcome, particularly with respect to quality of life (QoL). Methods and Results: In this retrospective single-center study, 454 patients who underwent ablation of SVT between 2002 and 2007 received a detailed questionnaire addressing matters of QoL. The questionnaire was a modified version of the SF-36 Health Survey questionnaire and the Symptom Checklist – Frequency and Severity Scale. After a mean follow up of 4.5±1.3 years, 309 (68.1%) of the contacted 454 patients (269 female, 59.2%, mean age 58+/-6.5) completed the questionnaire. Despite of 27% of relapses in the study group, 91.7% considered the procedure a long-term success. The remainder of patients experienced no change in (3.7%) or worsening of (4.7%) symptoms. There were no significant differences between the various types of SVT (p=1). QoL in patients with Atrio-Ventricular Nodal Reentry Tachycardia (AVNRT) and Atrio-Ventricular Reentry Tachycardia (AVRT) improved significantly (p<0.0005 respectively p<0.043), whereas QoL in patients with Ectopic Atrial Tachycardia (EAT) showed a non-significant trend towards improvement. Main symptoms before ablation, such as tachycardia (91.5%), increased incidence of tachycardia episodes over time (78.1%), anxiety (55.5%) and reduced physical capacity in daily life (52%) were significantly improved after ablation (p<0.0001). Conclusion: The high acute ablation success of SVT persists for years in long term follow up and translates into a significant improvement of QoL in most patients. |
format | Text |
id | pubmed-2628552 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Ivyspring International Publisher |
record_format | MEDLINE/PubMed |
spelling | pubmed-26285522009-01-21 Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient Cohort Meissner, Axel Stifoudi, Irini Weismüller, Peter Schrage, Max-Olav Maagh, Petra Christ, Martin Butz, Thomas Trappe, Hans-Joachim Plehn, Gunnar Int J Med Sci Research Paper Introduction: The ablation of supraventricular tachycardias (SVT) using radiofrequency energy (RF) is a procedure with a high primary success rate. However, there is a scarcity of data regarding the long term outcome, particularly with respect to quality of life (QoL). Methods and Results: In this retrospective single-center study, 454 patients who underwent ablation of SVT between 2002 and 2007 received a detailed questionnaire addressing matters of QoL. The questionnaire was a modified version of the SF-36 Health Survey questionnaire and the Symptom Checklist – Frequency and Severity Scale. After a mean follow up of 4.5±1.3 years, 309 (68.1%) of the contacted 454 patients (269 female, 59.2%, mean age 58+/-6.5) completed the questionnaire. Despite of 27% of relapses in the study group, 91.7% considered the procedure a long-term success. The remainder of patients experienced no change in (3.7%) or worsening of (4.7%) symptoms. There were no significant differences between the various types of SVT (p=1). QoL in patients with Atrio-Ventricular Nodal Reentry Tachycardia (AVNRT) and Atrio-Ventricular Reentry Tachycardia (AVRT) improved significantly (p<0.0005 respectively p<0.043), whereas QoL in patients with Ectopic Atrial Tachycardia (EAT) showed a non-significant trend towards improvement. Main symptoms before ablation, such as tachycardia (91.5%), increased incidence of tachycardia episodes over time (78.1%), anxiety (55.5%) and reduced physical capacity in daily life (52%) were significantly improved after ablation (p<0.0001). Conclusion: The high acute ablation success of SVT persists for years in long term follow up and translates into a significant improvement of QoL in most patients. Ivyspring International Publisher 2009-01-11 /pmc/articles/PMC2628552/ /pubmed/19158961 Text en © Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited. |
spellingShingle | Research Paper Meissner, Axel Stifoudi, Irini Weismüller, Peter Schrage, Max-Olav Maagh, Petra Christ, Martin Butz, Thomas Trappe, Hans-Joachim Plehn, Gunnar Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient Cohort |
title | Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful
Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient
Cohort |
title_full | Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful
Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient
Cohort |
title_fullStr | Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful
Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient
Cohort |
title_full_unstemmed | Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful
Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient
Cohort |
title_short | Sustained High Quality of Life in a 5-Year Long Term Follow-up after Successful
Ablation for Supra-Ventricular Tachycardia. Results from a large Retrospective Patient
Cohort |
title_sort | sustained high quality of life in a 5-year long term follow-up after successful
ablation for supra-ventricular tachycardia. results from a large retrospective patient
cohort |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2628552/ https://www.ncbi.nlm.nih.gov/pubmed/19158961 |
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