Mohanty Sanghamitra, Natale Andrea
Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, TX, US.
Metro Health Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, US.
Arrhythm Electrophysiol Rev. 2021 Dec;10(4):258-261. doi: 10.15420/aer.2021.50.
Impairment of quality of life (QoL) is a well-known complication of AF. Because of the association of AF with older age and many other cardiovascular comorbidities, there are multiple factors that could influence QoL score even after successful AF intervention. However, substantial improvement in QoL has been reported following catheter ablation for AF regardless of ablation outcomes. In terms of healthcare resource utilisation, the expenses associated with AF are very high because of the hospitalisations for AF-related thromboembolic complications, aggravation of heart failure, AF interventions, and emergency room visits for incessant arrhythmia episodes, and they represent a large economic burden worldwide. Several trials have shown a drastic reduction in healthcare costs following successful AF ablation. In this review, the authors discuss this evidence systematically.
生活质量(QoL)受损是房颤(AF)一种众所周知的并发症。由于房颤与老年及许多其他心血管合并症相关,即使房颤成功干预后,仍有多种因素可能影响生活质量评分。然而,无论消融结果如何,据报道房颤导管消融术后生活质量都有显著改善。在医疗资源利用方面,由于房颤相关血栓栓塞并发症的住院治疗、心力衰竭加重、房颤干预以及因持续性心律失常发作而进行的急诊室就诊,与房颤相关的费用非常高,并且它们在全球范围内构成了巨大的经济负担。多项试验表明,房颤成功消融后医疗成本大幅降低。在本综述中,作者系统地讨论了这一证据。