Quality of life before and after radiofrequency catheter ablation in patients with drug refractory atrioventricular nodal reentrant tachycardia
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Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common form of supraventricular tachycardia. 1 Ganz L.I. Friedman P.L. Supravntricular tachycardia. N Engl J Med. 1995; 332: 162-173 Crossref PubMed Scopus (166) Google Scholar , 2 Orejarena L.A. Vidaillet H. DeStefano F. Nordstrom D.L. Vierkant R.A. Smith P.N. Hayes J.J. Paroxysmal supraventricular tachycardia in the general population. J Am Coll Cardiol. 1998; 31: 150-157 Abstract Full Text Full Text PDF PubMed Scopus (295) Google Scholar While rarely life-threatening, 3 Wang Y. Scheinman M.M. Chien W.W. Cohen T.J. Lesh M.D. Griffin J.C. Patients with supraventricular tachycardia presenting with aborted sudden death incidence, mechanism and long-term follow-up. J Am Coll Cardiol. 1991; 18: 1711-1719 Abstract Full Text PDF PubMed Scopus (115) Google Scholar AVNRT is a frequent cause of symptoms and occasional disability. 1 Ganz L.I. Friedman P.L. Supravntricular tachycardia. N Engl J Med. 1995; 332: 162-173 Crossref PubMed Scopus (166) Google Scholar , 4 Wood K.A. Drew B.J. Scheinman M.M. Frequency of disabling symptoms in supraventricular tachycardia. Am J Cardiol. 1997; 79: 145-149 Abstract Full Text Full Text PDF PubMed Scopus (90) Google Scholar , 5 Hamer M.E. Blumenthal J.A. McCarthy E.A. Phillips B.G. Pritchett E.L.C. Quality-of-life assessment in patients with paroxysmal atrial fibrillation or paroxysmal supraventricular tachycardia. Am J Cardiol. 1994; 74: 826-829 Abstract Full Text PDF PubMed Scopus (89) Google Scholar Medical therapy has been reasonably successful in preventing frequent paroxysms, but drug side effects may impair patient quality of life. Radiofrequency catheter ablation (RFA) of the slow pathway of the atrioventricular node has revolutionized the clinical approach to AVNRT. 6 Jackman W.M. Beckman K.J. McClelland J.H. Wang X. Friday K.J. Roman C.A. Moulton K.P. Twidale N. Hazlitt H.A. Prior M.I. Oren J. Overholt E.D. Lazzara R. Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med. 1992; 327: 313-318 Crossref PubMed Scopus (1047) Google Scholar , 7 Manolis A.S. Wang P.J. Estes N.A.M. Radiofrequency catheter ablation for cardiac tachyarrhythmias. Ann Intern Med. 1994; 121: 452-461 Crossref PubMed Scopus (60) Google Scholar Leading centers have reported high procedural success rates, 8 Hindricks G. Multicentre European Radiofrequency Survey (MERFS) Investigators of the Working Group on Arrhythmias of the European Society of CardiologyThe Multicentre European Radiofrequency Survey (MERFS) complications of radiofrequency catheter ablation of arrhythmias. Eur Heart J. 1993; 14: 1644-1653 Crossref PubMed Scopus (464) Google Scholar , 9 Scheinman M.M. NASPE survey on catheter ablation. NASPE policy statement. PACE. 1995; 18: 1474-1478 Crossref Scopus (162) Google Scholar , 10 Calkins H. Yong P. Miller J.M. Olshansky B. Carlson M. Saul J.P. Huang S.K.S. Liem L.B. Klein L.S. Moser S.A. Bloch D.A. Gillette P. Prystowsky E. Catheter ablation of accessory pathways, atrioventricular nodal reentrant tachycardia, and the atrioventricular junction. Final results of a prospective, multicenter clinical trial. Circulation. 1999; 99: 262-270 Crossref PubMed Scopus (580) Google Scholar and favorable effects of RFA on symptom frequency and quality of life. 11 Bubien R.S. Knotts-Dolson S.M. Plumb V.J. Kay G.N. Effect of radiofrequency catheter ablation on health-related quality of life and activities of daily living in patients with recurrent arrhythmias. Circulation. 1996; 94: 1585-1591 Crossref PubMed Scopus (222) Google Scholar , 12 Brignole M. Gianfranchi L. Menozzi C. Bottoni N. Bollini R. Lolli G. Oddone D. Gaggioli G. Influence of atrioventricular junction radiofrequency ablation in patients with chronic atrial fibrillation and flutter on quality of life and cardiac performance. Am J Cardiol. 1994; 74: 242-246 Abstract Full Text PDF PubMed Scopus (184) Google Scholar , 13 Lau C. Tai Y. Lee P.W.H. The effects of radiofrequency ablation versus medical therapy on the quality-of-life and exercise capacity in patients with accessory pathway-mediated supraventricular tachycardia a treatment comparison study. PACE. 1995; 18: 424-432 Crossref Scopus (45) Google Scholar The hospital charges and physician fees for RFA are >$15,000, however, 14 Kalbfleisch S.J. Calkins H. Langberg J.J. El-Atassi R. Leon A. Borganelli M. Morady F. Comparison of the cost of radiofrequency catheter modification of the atrioventricular node and medical therapy for drug-refractory atrioventricular node reentrant tachycardia. J Am Coll Cardiol. 1992; 19: 1583-1587 Abstract Full Text PDF PubMed Scopus (64) Google Scholar and its cost-effectiveness has not been established. The potential cost-effectiveness of RFA will depend largely on its effect in improving patient utility, a global measure of quality of life, and patient preferences. The present study assesses the
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Several studies have investigated patient-reported quality of life and may offer some insight into patient preferences where particular therapies result in improvements in quality of life.
“Several studies have investigated patient-reported QoL, 2,245,246,254 -256,258,424,425 and these may offer some insight into patient preferences for treatment where particular therapies result in improvements in QoL.”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [255]
Every study has demonstrated an improvement in self-reported quality of life following ablation.
“Every study has demonstrated an improvement in self-reported QoL following ablation.2,245,246,254 -256,258,424,425”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [255]
Almost all studies examining quality of life with validated questionnaires have been conducted in patients undergoing catheter ablation for supraventricular tachycardia, often without a comparison group.
“Almost all of the studies examining QoL, measured with validated questionnaires, have been conducted in patients undergoing catheter ablation for SVT, 245,246,254 - 256,258,424,425 although often without a comparison group.”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [255]
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- Authors
- Larson, M. S., McDonald, K., Young, C., Sung, R., & Hlatky, M. A.
- Affiliations
- Stanford Medicine (US)
- Kaiser Permanente (US)
- Corresponding author
- Hlatky, Mark A
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 1999-08
- Volume
- 84
- Issue
- 4
- Pages
- 471-473
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2059879127
- Cited by
- 27
- References
- 20
- Citations by year
- 2022: 1 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 1 · 2016: 1 · 2015: 5 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The American Journal of Cardiology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (HS08362)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- atrioventricular nodal reentrant tachycardia, radiofrequency catheter ablation, quality of life, supraventricular tachycardia, post-ablation outcomes, patient-reported outcomes, health-related quality of life, social functioning, labor productivity
- MeSH terms
- Aged, Anti-Arrhythmia Agents, Electrocardiography, Female, Follow-Up Studies, Humans, Male, Middle Aged, Quality of Life, Retrospective Studies, Risk Factors, Tachycardia, Atrioventricular Nodal Reentry, Survival Rate, Treatment Outcome, Catheter Ablation
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