Department of Cardiology, Faculty of Medicine, Osmangazi Eskisehir University, Eskisehir, Turkey.
Int J Cardiol. 2013 Sep 10;167(6):2462-7. doi: 10.1016/j.ijcard.2013.01.028. Epub 2013 Feb 12.
Atrial fibrillation is the most common arrhythmia associated with increased mortality and morbidity. Its management requires high healthcare expenditures; 52%-70% of expenses for AF care are constituted by hospitalization costs. The current management strategies of pharmacological rhythm control and pharmacological or invasive rate control show no difference in impact on major outcomes in patients with AF. Radiofrequency catheter ablation (RFA) has been shown to reduce the risk of AF recurrence, improve quality of life and reduce hospitalization rate as compared to pharmacological rhythm control and rate control strategies. This review summarizes current knowledge on cost and cost-effectiveness analysis of RFA for patients with atrial fibrillation.
心房颤动是与死亡率和发病率增加相关的最常见心律失常。其管理需要大量的医疗保健支出;52%-70%的房颤护理费用由住院费用构成。目前,药物节律控制和药物或介入性速率控制的管理策略在房颤患者的主要结局影响方面没有差异。与药物节律控制和速率控制策略相比,射频导管消融(RFA)已被证明可降低房颤复发风险,提高生活质量并降低住院率。本文综述了目前关于射频导管消融治疗心房颤动患者的成本和成本效益分析的知识。