Late Palpitations in Young Patients After Ablation for Tachyarrhythmias.

Autor: Li COY; Division of Cardiology, BC Children's Hospital, Vancouver, British Columbia, Canada., Kallas D; Division of Cardiology, BC Children's Hospital, Vancouver, British Columbia, Canada., LePoidevin L; Division of Cardiology, BC Children's Hospital, Vancouver, British Columbia, Canada., Hart A; Division of Cardiology, BC Children's Hospital, Vancouver, British Columbia, Canada., Franciosi S; Division of Cardiology, BC Children's Hospital, Vancouver, British Columbia, Canada., Sanatani S; Division of Cardiology, BC Children's Hospital, Vancouver, British Columbia, Canada.
Jazyk: angličtina
Zdroj: CJC pediatric and congenital heart disease [CJC Pediatr Congenit Heart Dis] 2022 Dec 28; Vol. 2 (3), pp. 106-111. Date of Electronic Publication: 2022 Dec 28 (Print Publication: 2023).
DOI: 10.1016/j.cjcpc.2022.12.004
Abstrakt: Background: Patients after ablation for tachyarrhythmias may continue to experience palpitations in the setting of sinus rhythm. The objective of our study was to investigate if patients who have undergone ablation for tachyarrhythmia have palpitations and other somatic complaints more frequently than healthy controls.
Methods: Paediatric patients after ablation for tachyarrhythmia at BC Children's Hospital from 2009 to 2020 and healthy controls were invited to participate in a survey about palpitations. Demographics, palpitation symptoms, frequency, duration, and need for medical attention were collected and compared between patients and controls.
Results: We received responses from 111 patients (response rate of 27.5%; mean age = 20.0 ± 4.6 years, 52% male) and 62 controls (age = 19.8 ± 5.7 years, 40% male). Sixty-two (56%) patients experienced palpitations beyond the initial 4 weeks after ablation, of whom 77% (n = 48/62) reported their palpitations feeling different. Tachyarrhythmia recurrence rate after ablation was 7.2%. There was no difference in the prevalence of palpitations experienced between patients and controls ( P  = 0.74). Patients after ablation sought medical attention more often for their palpitations ( P  = 0.003) and chest symptoms ( P  = 0.001) compared to controls.
Conclusion: The prevalence of palpitations did not differ in ablation patients compared to healthy controls. Patients reported that their palpitations felt different after ablation and were more likely to seek medical attention for their palpitations. Paediatric patients with tachyarrhythmias may have heightened awareness due to their history. Clinicians can incorporate this into procedural counselling to reduce patient concern and need for medical attention.
(© 2022 Published by Elsevier Inc. on behalf of the Canadian Cardiovascular Society.)
Databáze: MEDLINE
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