Septal Ablation in Obstructive Hypertrophic Cardiomyopathy (oHCM)

Autor: Dirceu R. Almeida
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
Septos Cardíacos/efeito de drogas
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
Cardiomyopathy
Hypertrophic/physiopathology
Cardiomiopatia Hipertrófica/fisiopatologia
Pressão Sanguínea
Ethanol/administration & dosage
Blood Pressure
Risk Assessment
Statistics
Nonparametric
Ventricular Dysfunction Left/complications
Text mining
Etanol/administração & dosagem
Septal Ablation
Risk Factors
Internal medicine
medicine
Humans
Angioplasty
Balloon
Coronary
Intraoperative Complications
Heart Septum/pathology
Retrospective Studies
Myocardial
Percutaneous Transluminal Septal Myocardial Ablation (PTSMA)
business.industry
Cardiomyopathy
Hypertrophic/therapy
Middle Aged
Cardiomyopathy
Hypertrophic
Cardiomiopatia Hipertrófica/terapia
Logistic Models
Treatment Outcome
Cardiomyopathy
Hypertrophic/prevention and control
Blood pressure
Septos Cardíacos/patologia
lcsh:RC666-701
Hypertension
Catheter Ablation
Cardiology
Female
Original Article
Short Editorial
Obstructive hypertrophic cardiomyopathy
Cardiology and Cardiovascular Medicine
business
Heart Septum/drug effects
Echocardiography
Stress
Zdroj: Arquivos Brasileiros de Cardiologia, Volume: 112, Issue: 4, Pages: 439-440, Published: 15 APR 2019
Arquivos Brasileiros de Cardiologia, Vol 112, Iss 4, Pp 439-440 (2019)
Arquivos Brasileiros de Cardiologia
Popis: Background The analysis of risk factors for predicting related complications has not been reported to date. Objective This study aims to investigate the risk factors of related complications of percutaneous transluminal septal myocardial ablation (PTSMA) for hypertrophic obstructive cardiomyopathy (HOCM) retrospectively. Method Clinical data, and one-year follow-up results of patients with HOCM, who underwent PTSMA between January 2000 and July 2013 in the Department of Cardiology, Liaoning Province People’s Hospital, Liaoning Province, China, were retrospectively analyzed to determine risk factors for operative complications with multiple logistic regression analysis. All p values are two-sided, with values of p < 0.05 being considered statistically significant. Results Among 319 patients with HOCM, PTSMA was performed in 224 patients (120 males and 104 females, mean age was 48.20 ± 14.34 years old). The incidence of PTSMA procedure-related complications was 36.23% (66/224), which included three cardiac deaths, two cardiac shocks, one ST-segment elevated myocardial infarction, two ventricular fibrillations, 20 third-degree atrioventricular (AV) blocks (four patients were implanted with a permanent pacemaker (PPM)), 32 complete right bundle branch blocks, two complete left bundle branch blocks, and four puncture-related complications. After multivariate logistic regression analysis, it was found that age, gender, coronary artery diseases, diabetes, heart rate, cardiac function on admission, the number of septal ablations, and the volume of alcohol were not independent risk factors correlated to the whole complications, except for hypertension (OR: 4.856; 95% CI: 1.732-13.609). Early experience appears to be associated with the occurrence of complications. Conclusion Hypertension was an independent risk factor for PTSMA procedure-related complications. It might be much safer and more efficient if PTSMA procedures are restricted to experienced centers, according to the analysis results for the learning curve.
Databáze: OpenAIRE
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