Long-Term Survival After Closed-Chest His-Bundle Ablation with DC Shock for Supraventricular Arrhythmias: A 10-Year Experience with 317 Consecutive Patients
| Autor: | Michel Haissacuerre, P Lemetayer, L. Gencel, Jacques Clémenty, F. Poquet |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male Bundle of His medicine.medical_specialty medicine.medical_treatment Cardiomyopathy Catheter ablation Sick sinus syndrome Internal medicine Tachycardia Supraventricular medicine Humans cardiovascular diseases Myocardial infarction Atrial tachycardia Aged Aged 80 and over business.industry Atrial fibrillation General Medicine Middle Aged medicine.disease Survival Rate Heart failure Catheter Ablation cardiovascular system Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Atrial flutter |
| Zdroj: | Pacing and Clinical Electrophysiology. 17:2150-2155 |
| ISSN: | 1540-8159 0147-8389 |
| DOI: | 10.1111/j.1540-8159.1994.tb03817.x |
| Popis: | Survival after closed-chest ablation of His bundle with DC shock for supraventricular arrhythmias was analyzed for a 10-year period (May 1982-December 1992) with 317 consecutive patients (167 males, 150 females; mean age 66 years; range 33-93 years). Of these, 54 patients died (17.3%) and 5 were lost to follow-up. The mean age at ablation was 70.3 +/- 8.3 years with a range of 49-93 years. Of those who died, the mean survival was 30.5 +/- 28.6 months with a range of 36 hours to 120 months; the diagnosis of heart disease was: hypertension (n = 14), cardiomyopathy (n = 8), ischemic (n = 7), valvular (n = 6), cor pulmonale (n = 3), valvular and ischemic (n = 2), hypertension and ischemic (n = 1), miscellaneous (n = 3), and none (n = 10). Of the patients who died after ablation, the arrhythmias at the time of the ablation were atrial fibrillation (AF; n = 33), sick sinus syndrome (n = 5), atrial flutter (AFL; n = 4), paroxysmal AV junctional tachycardia (PAVJT; n = 4), AF + AFL (n = 4), atrial tachycardia (n = 2), PAVJT + AFL (n = 1), and AF +AFL + atrial tachycardia (n = 1). Death was sudden in 13 patients (25%), due to heart failure in 10 (19.2%), myocardial infarction in 4 (7.7%), stroke in 4 (7.7%), aortic vascular accident in 3 (5.8%), miscellaneous in 18 (34.6%), and undetermined in 2.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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