TYPES OF RADIOFREQUENCY ABLATION AND CLINICAL SYMPTOMS IN PATIENTS WITH ATRIAL FIBRILLATION AND FLUTTER
Journal: The Journal of V.N. Karazin Kharkiv National University, series "Medicine" (Vol.34, No. 34)Publication Date: 2017-12-31
Authors : Zolotarova T. V. Brynza M. S. Martynenko O. V. Volkov D. E.;
Page : 51-56
Keywords : clinical features; atrial fibrillation and flutter; surgery; catheter ablation; cavo-tricuspid isthmus; pulmonary veins;
Abstract
The study involved 76 patients with atrial fibrillation and atrial flutter (AF/AFL) who were divided into groups depending on conducted surgery (radiofrequency ablation of pulmonary veins (RFA PV), cavo-tricuspid isthmus (CTI), a combined strategy (PV + CTI)). We evaluated the sex and age of patients, AF and AFL form, duration of AF/AFL, classification of AF / AFL by the different scales, stage and degree of hypertension (AT); types of coronary heart disease (CHD); diabetes mellitus type 2; acute cerebrovascular accident history; functional class and stage of chronic heart failure (FC CHF). The frequency distribution of basic cardiovascular diseases and their clinical signs are observed equally in patients with AF/AFL, regardless of the type of surgery carried out and they do not influence the choice of the latter. Male patients often held RFA CTI and women – RFA PV. Patients with persistent AF often require alternative treatments, especially catheter ablation of arrhythmic substrate.
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