1:1 atrial-flutter. Prevalence and clinical characteristics
| Autor: | Christian de Chillou, Béatrice Brembilla-Perrot, Arnaud Olivier, Jean Marc Sellal, Marius Andronache, Olivier Selton, Vladimir Manenti, Pierre Yves Zinzius, Franck Laporte, Daniel Beurrier, Pierre Louis, Jérôme Schwartz, Arnaud Terrier De La Chaise |
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| Přispěvatelé: | Service de Cardiologie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Université de Lorraine (UL)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL) |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty 1:1 atrial flutter Heart disease Adolescent Atrial flutter 030204 cardiovascular system & hematology Ablation Amiodarone 03 medical and health sciences Young Adult 0302 clinical medicine Proarrhythmic effect Internal medicine Epidemiology medicine Prevalence Humans In patient 030212 general & internal medicine Aged Retrospective Studies Aged 80 and over business.industry Mean age Atrial fibrillation Middle Aged medicine.disease 3. Good health Population Surveillance Cardiology Catheter Ablation Female Anti-arrhythmic drugs Cardiology and Cardiovascular Medicine business [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology medicine.drug Follow-Up Studies |
| Zdroj: | International Journal of Cardiology International Journal of Cardiology, Elsevier, 2013, 168 (4), pp.3287-3290. ⟨10.1016/j.ijcard.2013.04.047⟩ |
| ISSN: | 0167-5273 |
| DOI: | 10.1016/j.ijcard.2013.04.047⟩ |
| Popis: | International audience; Little is known about the epidemiology of 1:1 atrial flutter (AFL). Our objectives were to determine its prevalence and predisposing conditions.Methods1037 patients aged 16 to 93 years (mean 64 ± 12) were consecutively referred for AFL ablation. 791 had heart disease (HD). Patients admitted with 1/1 AFL were collected. Patients were followed 3 ± 3 years.Results1:1 AFL-related tachycardiomyopathy was found in 85 patients, 59 men (69%) with a mean age of 59 ± 12 years. The prevalence was 8%. They were compared to 952 patients, 741 men (78%, 0.04), with a mean age of 65 ± 12 years (0.002) without 1:1 AFL. Factors favoring 1:1 AFL was the absence of HD (35 vs 23%, 0.006), the history of AF (42 vs 30.5%)(0.025) and the use of class I antiarrhythmic drugs (34 vs 13%)(p < 0.0001), while use of amiodarone or beta blockers was less frequent in patients with 1:1 AFL (5, 3.5%) than in patients without 1:1 AFL (25, 15%) (p < 0.0001, 0.03). The failure of ablation (9.4 vs 11%), ablation-related complications (2.3 vs 1.4%), risk of subsequent atrial fibrillation (AF) (20 vs 24%), risk of AFL recurrences (19 vs 13%) and risk of cardiac death (5 vs 6%) were similar in patients with and without 1:1 AFL.ConclusionsThe prevalence of 1:1 AFL in patients admitted for AFL ablation was 8%. These patients were younger, had less frequent HD, had more frequent history of AF and received more frequently class I antiarrhythmic drugs than patients without 1:1 AFL. Their prognosis was similar to patients without 1:1 AFL. |
| Databáze: | OpenAIRE |
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