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Effect of Pulmonary Vein Isolation on Quality of Life in Patients with Paroxysmal Atrial Fibrillation

机译:肺静脉隔离对阵发性心房颤动患者生活质量的影响

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Background: Recent studies have demonstrated that delivering radiofrequency energy to isolate the pulmonary veins (PVs) can cure patients with paroxysmal atrial fibrillation (PAF). Objective: To quantify the effects of radiofrequency catheter isolation of PVs on quality of life (QoL), symptom burden and non-scheduled visiting to physicians in patients with PAF. Methods: Thirty consecutive patients referred for radiofrequency ablation of PAF were included. Questionnaires were administered retrospectively, 6.3 months after the ablation procedure. QoL was measured by the SF-36 (a measure of general health status) and symptoms and health care utilization by a locally constructed questionnaire. Results: Before ablation, patients with PAF had significantly lower scores on all SF-36 subscales with the exception of the pain sub-scale, compared with a healthy control group. Apart from bodily pain all subscales significantly improved after PV isolation. Twenty patients had an improvement in their total health perception. PV isolation significantly reduced the frequency of episodes of atrial fibrillation (AF) and the proportion of nonscheduled contacts to physicians for AF. Conclusion: QoL in patients with PAF is significantly impaired. PV isolation improves the QoL and reduces the frequency and severity of symptoms and non-scheduled contacts to physicians.
机译:背景:最近的研究表明,传递射频能量以分离肺静脉(PVS)可以治愈阵发性心房颤动(PAF)的患者。目的:量化PV的射频导管分离对PAF患者的医师的射频质量(QOL),症状负担和非安排医生的影响。方法:包括连续三十例引用PAF射频消融的患者。在消融手术后6.3个月回顾性地管理问卷。 QOL由SF-36(衡量一般健康状况的量度)和症状和医疗保健利用来衡量。结果:在消融之前,与健康对照组相比,PAF患者在所有SF-36子量表上的分数明显降低,而疼痛子量表除外。除身体疼痛外,所有分量表在PV分离后都显着改善。二十名患者的健康状况有所改善。 PV隔离显着降低了房颤(AF)的发作频率以及与AF医生的非固定接触的比例。结论:PAF患者的QOL严重受损。 PV隔离改善了QOL,并减少了症状的频率和严重程度以及与医生的未安排接触的频率和严重程度。

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