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NGHIÊN CỨU LÂM SÀNG Issue: Số 105 năm 2023

EFFECT OF RADIOFREQUENCY CATHETER ABLATION ON HEALTH-RELATED QUALITY OF LIFE IN PATIENTS WITH PREMATURE VENTRICULAR CONTRACTIONS

Nguyễn Thị Hồng Nhung: Trường Đại học Y Hà Nội; Nguyễn Thị Minh Lý: Trường Đại học Y Hà Nội; Bùi Đức Nhuận: Bệnh viện Trường Đại học Y Hà Nội;
Published: May 31, 2023
Views: 92
DOI 10.58354/jvc.105.2023.465

Abstract

Objectives: To describe the health-related quality of life in patients with premature ventricular contractions (PVCs) before and after successful treatment with radiofrequency catheter ablation (RFCA) using the SF-36 questionnaire in Hanoi Medical University Hospital.

Subjects and Methods: A cross-sectional study was carried out on patients with PVCs, successfully treated with RFCA from May to August 2022.  Patients were interviewed using the SF-36 questionnaire right after intervention and three months later.

Result: 31 patients, mean age: 48 ± 13 (years), female: 71%. After RFCA, 54.8% of the patients had PVCs under five times in three months. Neither patients experienced PVC episodes longer than 7 hours nor had PVCs daily or constantly. Compared to before RFCA, symptoms were significantly decreased, especially dizziness, fatigue, boredom, chest pain, and worry. The SF-36 score in post-ablation was 77.20 ± 13.81 compared to 42.49 ± 19.12 in pre-ablation. In detail, the physical health score was improved more than the mental health score (37.74 compared to 31.68). Most patients had a good quality of life three months post RFCA intervention, accounting for 67.7%.

Conclusion: Health-related quality of life of PVC patients after successfully treating with RFCA was a statistically significant improvement with a p-value < 0.05.

References

1.
Klewer, J., J. Springer, and J. Morshedzadeh, Premature Ventricular Contractions (PVCs): A Narrative Review. Am J Med, 2022.
2.
Chan, A.K. and M.L. Dohrmann, Management of premature ventricular complexes. Mo Med, 2010. 107(1): p. 39-43.
3.
Epstein, A., et al., Foundation ACoC, Guidelines AHATFoP, Society HR 2012 accf/aha/hrs focused update incorporated into the accf/aha/hrs 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: A report of the American college of cardiology foundation/American heart association task force on practice guidelines and the heart rhythm society. Circulation, 2013. 127: p. e283-352.
4.
Khurshid, S., et al., Frequency of cardiac rhythm abnormalities in a half million adults. Circulation: Arrhythmia and Electrophysiology, 2018. 11(7): p. e006273.
5.
Withers, K.L., et al., Living on a knife edge-the daily struggle of coping with symptomatic cardiac arrhythmias. Health Qual Life Outcomes, 2015. 13: p. 86.
6.
Zhou, L., X. Ma, and W. Wang, Inflammation and coronary heart disease risk in patients with depression in China mainland: a cross-sectional study. Neuropsychiatric Disease and Treatment, 2020. 16: p. 81.
7.
Centers for Disease control and Prevention, Health-related Quality of Life Concepts. 2018.
8.
Ling, Z., et al., Radiofrequency ablation versus antiarrhythmic medication for treatment of ventricular premature beats from the right ventricular outflow tract: prospective randomized study. Circulation: Arrhythmia and Electrophysiology, 2014. 7(2): p. 237-243.
9.
Villines, Z., What is an arrhythmia radiofrequency ablation, in Medical News Today. 2021.
10.
Bệnh viện đa khoa tỉnh Quảng Ninh, Điều trị rối loạn nhịp tim bằng sóng tần số radio.
11.
PGS. TS. Nguyễn Thy Khuê and ThS. BS. Võ Tuấn Khoa, Qúa trình chuyển ngữ, thích ứng văn hóa và thẩm định bước đầu bộ câu hỏi đánh giá chất lượng cuộc sống short form-36 phiên bản Việt. Hội nội tiết, đái tháo đường và rối loạn chuyển hóa miền Trung Việt Nam, Hội Y học TP Hồ Chí Minh, 2021.
12.
Huang, C.X., et al., Quality of life and cost for patients with premature ventricular contractions by radiofrequency catheter ablation. Pacing Clin Electrophysiol, 2006. 29(4): p. 343-50.
13.
Amir, M., et al., Symptom Burden and Quality of Life After Successful Ablation in Patients With Low Burden of Symptomatic Premature Ventricular Complexes. 2021.
14.
Chu Ngọc Sơn and Phạm Trần Linh, Đặc điểm lâm sàng bệnh nhân ngoại tâm thu thất tiến hành điều trih triệt đốt bằng năng lượng sóng có tấn số radio tại Viện Tim mạch Việt Nam. Việt Nam Medical Journal, 2019. 482(1): p. 190-192.
15.
Lê Văn Thủy, Đánh giá chất lượng cuộc sống cử dụng bộ câu hỏi ASTA ở bệnh nhân ngoại tâm thu thất trước và sau điều trị RF. 2014.
16.
Curtis, A.B., et al., Arrhythmias in patients≥ 80 years of age: pathophysiology, management, and outcomes. Journal of the American College of Cardiology, 2018. 71(18): p. 2041-2057.
17.
Tsougos, E., et al., The Effects of Different Hormones on Supraventricular and Ventricular Premature Contractions in Healthy Premenopausal Women. Medicina (Kaunas), 2021. 57(11).
18.
Hu, X., et al., Effect of oestrogen replacement therapy on idiopathic outflow tract ventricular arrhythmias in postmenopausal women. Arch Cardiovasc Dis, 2011. 104(2): p. 84-8.

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Section NGHIÊN CỨU LÂM SÀNG
Issue Số 105 năm 2023