THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASE
Aim. To estimate the prevalence of iatrogenic atrial flutter in patients with coronary heart disease (CHD) and atrial fibrillation (AF) after two types of surgical operations: radiofrequency pulmonary veins isolation and radiofrequency modified mini Maze procedure; and to compare the results with co...
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«SILICEA-POLIGRAF» LLC
2014-04-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/28 |
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| author | A. M. Chernyavsky Yu. E. Kareva I. A. Pak S. S. Rakhmonov A. B. Romanov E. A. Pokushalov |
| author_facet | A. M. Chernyavsky Yu. E. Kareva I. A. Pak S. S. Rakhmonov A. B. Romanov E. A. Pokushalov |
| author_sort | A. M. Chernyavsky |
| collection | DOAJ |
| description | Aim. To estimate the prevalence of iatrogenic atrial flutter in patients with coronary heart disease (CHD) and atrial fibrillation (AF) after two types of surgical operations: radiofrequency pulmonary veins isolation and radiofrequency modified mini Maze procedure; and to compare the results with control group of patients undergone aortic-coronary bypass grafting (CABG).Material and methods. Totally 95 patients included with CHD and persistent AF. Subjects were randomized into three groups: 1st (n=31) — with simultaneous CABG and radiofrequency ablation of pulmonary veins ostiums; 2nd (n=30) — simultaneous CABG and mini Maze procedure; 3rd control (n=34) — CABG only. For prolonged ECG monitoring the implanted devices Reveal XT were used in 53 subjects.Results. The patients escaped from left-atrial flutter were 90% in the 1st group. In the 2nd there was 1 case of left-atrial flutter (according to electrophysiological investigation — the leap through the mitral valve line), meaning 96,9% patients free from it. However there was no significant difference between 1st and 2nd groups (p=0,6). In the 3rd group postprocedure flutter developed in one case too, due to the scar on the left atrium wall after mitral valve regurgitation correction; so 97% patients escaped from flutter, but the difference was still not significant (p=0,4).Conclusion. In patients with CHD and AF it is recommended to perform radiofrequency modified mini Maze procedure combined with CABG due to its lower proarrhythmogenic effect. The rate of iatrogenic flutter is 3,1% after mini Maze and 10% after pulmonary veins ostiums isolation. |
| first_indexed | 2024-04-10T03:36:33Z |
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| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2024-04-10T03:36:33Z |
| publishDate | 2014-04-01 |
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| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-aea6fdb509cc429f852d3a1a5c7d8b272023-03-13T07:23:23Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252014-04-01132404510.15829/1728-8800-2014-2-40-4528THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASEA. M. Chernyavsky0Yu. E. Kareva1I. A. Pak2S. S. Rakhmonov3A. B. Romanov4E. A. Pokushalov5ФГБУ Новосибирский научно-исследовательский институт патологии кровообращения имени академика Е. Н. Мешалкина Минздрава России, НовосибирскФГБУ Новосибирский научно-исследовательский институт патологии кровообращения имени академика Е. Н. Мешалкина Минздрава России, НовосибирскФГБУ Новосибирский научно-исследовательский институт патологии кровообращения имени академика Е. Н. Мешалкина Минздрава России, НовосибирскФГБУ Новосибирский научно-исследовательский институт патологии кровообращения имени академика Е. Н. Мешалкина Минздрава России, НовосибирскФГБУ Новосибирский научно-исследовательский институт патологии кровообращения имени академика Е. Н. Мешалкина Минздрава России, НовосибирскФГБУ Новосибирский научно-исследовательский институт патологии кровообращения имени академика Е. Н. Мешалкина Минздрава России, НовосибирскAim. To estimate the prevalence of iatrogenic atrial flutter in patients with coronary heart disease (CHD) and atrial fibrillation (AF) after two types of surgical operations: radiofrequency pulmonary veins isolation and radiofrequency modified mini Maze procedure; and to compare the results with control group of patients undergone aortic-coronary bypass grafting (CABG).Material and methods. Totally 95 patients included with CHD and persistent AF. Subjects were randomized into three groups: 1st (n=31) — with simultaneous CABG and radiofrequency ablation of pulmonary veins ostiums; 2nd (n=30) — simultaneous CABG and mini Maze procedure; 3rd control (n=34) — CABG only. For prolonged ECG monitoring the implanted devices Reveal XT were used in 53 subjects.Results. The patients escaped from left-atrial flutter were 90% in the 1st group. In the 2nd there was 1 case of left-atrial flutter (according to electrophysiological investigation — the leap through the mitral valve line), meaning 96,9% patients free from it. However there was no significant difference between 1st and 2nd groups (p=0,6). In the 3rd group postprocedure flutter developed in one case too, due to the scar on the left atrium wall after mitral valve regurgitation correction; so 97% patients escaped from flutter, but the difference was still not significant (p=0,4).Conclusion. In patients with CHD and AF it is recommended to perform radiofrequency modified mini Maze procedure combined with CABG due to its lower proarrhythmogenic effect. The rate of iatrogenic flutter is 3,1% after mini Maze and 10% after pulmonary veins ostiums isolation.https://cardiovascular.elpub.ru/jour/article/view/28фибрилляция предсердийишемическая болезнь сердцаэпикардиальная радиочастотная аблация |
| spellingShingle | A. M. Chernyavsky Yu. E. Kareva I. A. Pak S. S. Rakhmonov A. B. Romanov E. A. Pokushalov THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASE Кардиоваскулярная терапия и профилактика фибрилляция предсердий ишемическая болезнь сердца эпикардиальная радиочастотная аблация |
| title | THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASE |
| title_full | THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASE |
| title_fullStr | THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASE |
| title_full_unstemmed | THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASE |
| title_short | THE COMPARISON OF ARRHYTHMOGENICITY OF DIFFERENT SURGICAL APPROACHES TO ATRIAL FIBRILLATION IN PATIENTS WITH CORONARY HEART DISEASE |
| title_sort | comparison of arrhythmogenicity of different surgical approaches to atrial fibrillation in patients with coronary heart disease |
| topic | фибрилляция предсердий ишемическая болезнь сердца эпикардиальная радиочастотная аблация |
| url | https://cardiovascular.elpub.ru/jour/article/view/28 |
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