O'Callaghan P A, Meara M, Kongsgaard E, Poloniecki J, Luddington L, Foran J, Camm A J, Rowland E, Ward D E
Department of Cardiological Sciences, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK.
Heart. 2001 Aug;86(2):167-71. doi: 10.1136/heart.86.2.167.
To assess the changes in quality of life, arrhythmia symptoms, and hospital resource utilisation following catheter ablation of typical atrial flutter.
Patient questionnaire to compare the time interval following ablation with a similar time interval before ablation.
Tertiary referral centre.
63 consecutive patients were studied. Four patients subsequently underwent an ablate and pace procedure, two died of co-morbid illnesses, and two were lost to follow up. The remaining 55 patients form the basis of the report.
Patients were followed for a mean (SD) of 12 (9.5) months. Atrial flutter ablation resulted in an improvement in quality of life (3.8 v 2.5, p < 0.001) and reductions in symptom frequency score (2.0 v 3.5, p < 0.001) and symptom severity score (2.0 v 3.8, p < 0.001) compared with preablation values. There was a reduction in the number of patients visiting accident and emergency departments (11% v 53%, p < 0.001), requiring cardioversion (7% v 51%, p < 0.001), or being admitted to hospital for a rhythm problem (11% v 56%, p < 0.001). Subgroup analysis confirmed that patients with atrial flutter and concomitant atrial fibrillation before ablation and those with atrial flutter alone both derived significant benefit from atrial flutter ablation. Patients with concomitant atrial fibrillation had an improvement in quality of life (3.5 v 2.5, p < 0.001) and reductions in symptom frequency score (2.3 v 3.5, p < 0.001) and symptom severity score (2.2 v 3.7, p < 0.001) compared with preablation values.
Ablation of atrial flutter is recommended both in patients with atrial flutter alone and in those with concomitant atrial fibrillation.
评估典型心房扑动导管消融术后生活质量、心律失常症状及医院资源利用情况的变化。
通过患者问卷比较消融术后与消融术前相似时间段的情况。
三级转诊中心。
连续研究63例患者。4例患者随后接受了消融加起搏治疗，2例死于合并症，2例失访。其余55例患者构成报告基础。
患者平均（标准差）随访12（9.5）个月。与消融术前相比，心房扑动消融术后生活质量得到改善（3.8对2.5，p<0.001），症状频率评分降低（2.0对3.5，p<0.001），症状严重程度评分降低（2.0对3.8，p<0.001）。前往急诊科就诊的患者数量减少（11%对53%，p<0.001），需要心脏复律的患者数量减少（7%对51%，p<0.001），因节律问题住院的患者数量减少（11%对56%，p<0.001）。亚组分析证实，消融术前伴有心房颤动的心房扑动患者和单纯心房扑动患者均从心房扑动消融中获得显著益处。与消融术前相比，伴有心房颤动的患者生活质量得到改善（3.5对2.5，p<0.001），症状频率评分降低（2.3对3.5，p<0.001），症状严重程度评分降低（2.2对3.7，p<0.001）。
推荐对单纯心房扑动患者及伴有心房颤动的患者进行心房扑动消融。
