Quality of life and occurrence of atrial fibrillation in long-term follow-up of common type atrial flutter ablation:

Meißner, Axel; Christ, Martin; Maagh, Petra; Borchard, Rolf; Bracht, M. van; Wickenbrock, Ingo; Trappe, Hans‐Joachim; Plehn, Gunnar

doi:10.1007/s00392-007-0559-z

Cited by 11 publications

(6 citation statements)

References 19 publications

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“…The follow-up duration was among the longest ever reported in similar studies [13,15,17]. Our data confirm that atrial fibrillation occurrence after ablation of TFL is significantly higher in patients with both TFL and atrial fibrillation before ablation than in patients with isolated TFL [2,4,8,10,11,13,19].…”

Section: Main Findingssupporting

confidence: 92%

“…Different values of atrial fibrillation incidence after TFL ablation have been reported by various authors, ranging from 8 to 82% [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19], which may be explained by differences in the populations studied, mainly in terms of preablation history of atrial fibrillation and follow-up length. Although it has been established that a history of atrial fibrillation before TFL ablation is the most important risk factor for atrial fibrillation occurrence after ablation [2,4,8,10,11,13], a significant incidence of atrial fibrillation has been reported even after ablation of isolated TFL [15,16].…”

Section: Introductionmentioning

confidence: 98%

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Atrial fibrillation after typical atrial flutter ablation: a long-term follow-up

Bandini

Golia

Caroli

et al. 2011

Journal of Cardiovascular Medicine

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Feasibility and clinical usefulness of high resolution sound map with cross plane method for AF ablation Yeong-Hwa CHUN (Eiwa Zen) (Japan) i1 OP 16-2 Robotic navigation for catheter ablation of atrial fibrillation-is there a learning curve? Fahd CHAHADI (Australia) i1 OP 16-3 Effect of atrial fibrillation on catheter-tissue contact during antral pulmonary vein isolation in humans: lower contact force at the left anterior pulmonary vein in atrial fibrillation compared to sinus or paced rhythm Saurabh KUMAR (Australia) i1 OP 16-4 First human validation of a new epicardial access needle with a real time pressure monitoring to facilitate epicardial access Luigi DI BIASE (United States of America) i1 OP 16-5 Endoscopic ablation by unilateral approach (left chest) for lone atrial fibrillation: a single center experience in 100 consecutive patients Ju MEI (China) ix OP 16-6 Exploring the relationship between contact force and clinical outcomes between human and robot-assisted AF ablation: early results of MAST-AF Gavin S CHU (United Kingdom) i2 AFL ABLATION OP 14-1 Effect of respiration on catheter movement and stability during cavotricuspid isthmus ablation for atrial flutter Saurabh KUMAR (Australia) i3 OP 14-2 Electroanatomic characterization and ablation outcome of nonlesion related left atrial macroreentrant tachycardiain patients without obvious structural heart disease Jinlin ZHANG (China) Pouch depth is the sole factor affecting the radiofrequency duration and energy for right atrial cavotricuspid isthmus catheter ablation Kazuto KUJIRA (Japan) i4 ALTERNATIVE SITE PACING OP 22-1 Getting RV lead at thinner part of interventricular septum tends to shorten paced QRS duration with less dyssynchrony Dmytro VOLKOV (Ukraine) i5 OP 22-2 Is right ventricular outflow tract (RVOT) septal pacing better than right ventricular apical (RVA) septal pacing with regard to long term left ventricular function and mechanical synchrony? Gaurav GANESHWALA (India) i5

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Section: Main Findingssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 98%

Atrial fibrillation after typical atrial flutter ablation: a long-term follow-up

Bandini

Golia

Caroli

et al. 2011

Journal of Cardiovascular Medicine

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“…Study cohort: The number of patients lost in long term follow up is consistent with long-term surveys using written questionnaires 14, 19. A significant number of submitted questionnaires had to be excluded because they were not fully completed.…”

Section: Discussionmentioning

confidence: 86%

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

Meißner¹,

Stifoudi²,

Weismüller³

et al. 2009

Int. J. Med. Sci.

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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.

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“…Finally, the questionnaire completion rate was excellent; all patients answered the questionnaire at baseline (prior to ablation procedure) and at follow-up. Therefore, there were neither blank questionnaires nor incomplete items, unlike other studies [ 13 , 24 , 25 ] in which the questionnaire was retrospectively completed, making it more difficult to complete and to evaluate the health status before and after a particular treatment.…”

Section: Discussionmentioning

confidence: 99%

Assessment of long-term quality of life after cavotricuspid isthmus ablation for typical atrial flutter

Cabanas‐Grandío

García‐Seara

Gudé

et al. 2014

Health and Quality of Life Outcomes

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BackgroundCavotricuspid isthmus (CTI) ablation is the treatment of choice in preventing recurrences of typical atrial flutter (AFl). However, little is known about long-term quality of life (QoL) after CTI ablation.Methods and resultsFrom 01/2003 to 05/2005, 94 patients who consecutively underwent typical AFl ablation were included in the study. An SF-36 health questionnaire was self-administered before ablation and at follow-up. Transformed scores were calculated, adjusted for age and sex and then normalized and standardized for the Spanish population. Additionally, the minimal important differences (MID) were calculated to assess the smallest change in QoL that patients perceived as positive. A linear regression model was constructed to assess long-term QoL predictors. All SF-36 scales were lower than Spanish population scores. After a mean (SD) follow-up of 6.25 (0.5) years, all scales, except Bodily Pain, were higher than baseline. There was a significant difference for Physical Role (46.4 vs. 38.6, p < 0.001), Vitality (44.4 vs. 41.9, p = 0.038) and Mental Health (46.1 vs. 42.0, p = 0.001). However, only Physical Role achieved the criteria for MID. Recurrence of AFl, basal QoL, history of diabetes mellitus, atrial fibrillation and oral anticoagulation were predictors of long-term QoL.ConclusionCTI ablation provides a significant improvement in long-term QoL for the dimensions of Physical Role, Vitality and Mental Health, although the smallest positive change that patients perceive as positive was only observed for Physical Role. Previous diabetes mellitus, atrial fibrillation, oral anticoagulation, basal QoL and AFl recurrence were determinants of a worse long-term QoL.

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Quality of life and occurrence of atrial fibrillation in long-term follow-up of common type atrial flutter ablation:

Cited by 11 publications

References 19 publications

Atrial fibrillation after typical atrial flutter ablation: a long-term follow-up

Atrial fibrillation after typical atrial flutter ablation: a long-term follow-up

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

Assessment of long-term quality of life after cavotricuspid isthmus ablation for typical atrial flutter

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