HTML Issue

Volume 12 Issue 2 ( April- June) 2023

Original Articles

Cardiac Electrophysiology And Radiofrequency Ablation In Advanced Apex Tertiary Care Centre: A Seven Year Retrospective Study
Dr.Chirayu Vyas, Dr.Subrahmanya V Murti

Background: Radio frequency(RF) catheter ablation is a proven curative modality of treatment for several types of cardiac tachyarrhythmias. The aim of our study was to evaluate our experience of electrophysiology procedures over a 7-year-period and compare it with the published literature. Method: All patients undergoing cardiac electrophysiology and radiofrequency ablation procedures during the period from 01 January 2011 to 30 April 2018 were included in this study. Any patient with symptoms suggestive of tachyarrhythmia and documented, narrow QRS(<120ms) or Wide QRS(>/=120ms), complex tachycardia with heart rate more than or equal to 150 beats per minute and who was not responsive to optimal anti arrhythmic drug treatment were included. Any patient with renal dysfunction(Serum Creatinine>1.5mg %), who had associated history of bleeding diathesis, who had ongoing sepsis (Total Neutrophil Count>10,000 units cu. mm), who had past history of major vascular surgery of lower limbs making femoral vascular access unavailable. Result: The study analyzed 948 patients of which atrioventricular nodal reentranttachycardia (AVNRT) was 684(72.15%), accessory path ways 182(19.19%), atrialtachycardia 8(0.84%), atrial flutter 4(0.42%), atrial fibrillation 1(0.10%), ventricularrtachycardia 2(0.21%) and 67 diagnostic studies. Three-dimensional electroanatomicmapping was performed in 3 (0.31 %). The success rate was 99% with AVNRT, 96% with accessory pathway. The major and serious complications rate was 0.6%. Conclusion: The procedural success rate and the complication rate in this real-world study were comparable/superior to the reported literature.

 
Abstract View | Download PDF | Current Issue

Get In Touch

IJLBPR

322 Parlount Road Slough Berkshire SL3 8AX, UK

ijlbpr@gmail.com

Submit Article

© IJLBPR. All Rights Reserved.