Cited by 109Cardiac Arrhythmias and TreatmentsAtrial Fibrillation Management and OutcomesHealth Systems, Economic Evaluations, Quality of Life

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Radiofrequency catheter ablation versus medical therapy for initial treatment of supraventricular tachycardia and its impact on quality of life and healthcare costs

Bathina, MuraliN, Mickelsen, Steve, Brooks, Conni, Jaramillo, Joe, Hepton, Trish, Kusumoto, FredM·1998·The American Journal of Cardiology

DOI 10.1016/s0002-9149(98)00416-0

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Abstract

We prospectively compared the impact on quality of life and cost effectiveness between ablation and medication as an initial strategy for patients with paroxysmal supraventricular tachycardia (SVT). Seventy-nine consecutive patients with newly documented paroxysmal SVT were treated with either ablation or medication. Health surveys (SF-36 and disease-specific questions) were obtained at baseline and after 12 months of follow up. Cost of health care utilization for the 6 months before and after treatment were measured. Both medication and ablation improved quality of life. However, ablation improved quality of life in more general health categories than medication. At follow up, ablation was associated with significantly improved quality of life in the bodily pain (63+/-24 vs 81+/-20, p <0.005), general health (69+/-21 vs 79+/-21, p <0.05), vitality (55+/-21 vs 66+/-22, p <0.05), and role emotion (78+/-36 vs 94+/-17, p <0.05) categories when compared with medication. Although both medication and ablation decreased frequency of disease-specific symptoms, ablation resulted in complete amelioration of symptoms in more patients (33% vs 74%). Potential long-term costs were similar for medication and ablation. In conclusion, ablation improves health-related quality of life to a greater extent, and in more aspects of general and disease-specific health than medication.

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Authors: Bathina, M., Mickelsen, S., Brooks, C., Jaramillo, J., Hepton, T., & Kusumoto, F.
Affiliations: Lovelace Medical Center (US)
Venue: The American Journal of Cardiology
Publisher: Elsevier BV
Published: 1998-09
Volume: 82
Issue: 5
Pages: 589-593
ISSN: 0002-9149 (ISSN-L)
DOI: 10.1016/s0002-9149(98)00416-0
OpenAlex: W2053154502
Cited by: 109
References: 12
Citations by year: 2026: 1 · 2025: 2 · 2024: 5 · 2022: 2 · 2021: 7 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 9 · 2014: 3 · 2013: 4 · 2012: 6
FWCI: 3.53
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The American Journal of Cardiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords: paroxysmal supraventricular tachycardia, radiofrequency catheter ablation, antiarrhythmic drugs, quality of life, cost-effectiveness, health care costs, SF-36, symptom burden, initial treatment strategy
MeSH terms: Activities of Daily Living, Adult, Aged, Anti-Arrhythmia Agents, Cost-Benefit Analysis, Female, Follow-Up Studies, Humans, Male, Middle Aged, New Mexico, Quality of Life, Tachycardia, Paroxysmal, Tachycardia, Supraventricular, Treatment Outcome, Health Care Costs, Patient Satisfaction, Catheter Ablation

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Radiofrequency catheter ablation versus medical therapy for initial treatment of supraventricular tachycardia and its impact on quality of life and healthcare costs

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