First catheter ablations in the Ministry of Health system of Peru: report of the initial experience
| Autor: | Raúl A Montañez-Valverde, Pablo Mendoza-Novoa, Luis Alberto More |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Tachycardia
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty medicine.medical_treatment Catheter ablation 030204 cardiovascular system & hematology Tertiary referral hospital 03 medical and health sciences Underserved Population 0302 clinical medicine Peru Health care medicine 030212 general & internal medicine Original Paper business.industry Medical record Ablación por catéter Electrophysiology Arritmias cardíacas Catheter lcsh:RC666-701 Emergency medicine Christian ministry medicine.symptom Cardiology and Cardiovascular Medicine business Electrofisiología cardíaca Arrhythmia |
| Zdroj: | Repositorio Académico USMP Universidad San Martín de Porres-USMP USMP-Institucional Universidad de San Martín de Porres instacron:USMP International Journal of Cardiology: Heart & Vasculature, Vol 24, Iss, Pp-(2019) International Journal of Cardiology. Heart & Vasculature |
| Popis: | Background In 2015, the Ministry of Health (MINSA) of Peru inaugurated the first national center for electrophysiology studies in a public tertiary referral hospital with the purpose to provide healthcare access to the most underserved population. This study aims to describe the rate of success and complications of catheter ablation in this center since its inception, as well as the demographic characteristics of these patients. Methods This study is descriptive and retrospective. We used the medical record of the patients who underwent catheter ablation (first-time and re-do procedure) in the center from July 2015 to February 2018. Results 55 catheter ablations were performed in 53 patients, who were 35 (±15) years old and 47% male. 63.6% had a full MINSA health coverage, while 16.4% and 20% had partial MINSA coverage and no health coverage, respectively. Atrio-ventricular reentrant tachycardia mediated by accessory pathways was the most common (76.4%) electrophysiology diagnosis. The overall immediate success rate was 96.4%. No complications were reported. Conclusions The efficacy and safety of this procedure are comparable to international standards. The main limitations might be the insufficiency of resources and inadequate diffusion of our center activity. Highlights • This is the first electrophysiology (EP) center that provides healthcare to the most vulnerable population in Peru. • The efficacy and safety of this procedure in our center is comparable to previous reports. • The most common EP diagnosis was atrio-ventricular reentrant tachycardia (AVRT) mediated by accessory pathways. |
| Databáze: | OpenAIRE |
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