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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 14 - 21 (8page)
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Background and Objectives: The aim of this study was to investigate the effectiveness and selected adverse events of radiofrequency catheter ablation in patients treated for drug-refractory atrial fibrillation (AF) using claims data provided by the Health Insurance Review and Assessment Service, which covers all ablation procedures conducted in South Korea. Subjects and Methods: The study population included patients who underwent catheter ablation for AF between January 2011 and December 2013. A total of 3,850 patients without a previous history of catheter ablation procedure were enrolled. We analyzed 2-year effectiveness of the index ablation. Any redo ablation, electrical cardioversion, or use of antiarrhythmic drug beyond the blanking period of 3 months was considered a failure of index ablation. Results: Overall recurrence rate following AF ablation was 61.1%. The recurrence rate was lower in patients under 65 years old than in those over 65 years old (hazard ratio [HR] 0.89; 95% confidence interval [CI], 0.81 to 0.97, P=0.009). Repeat ablation was more frequent in men (HR 1.56; 95% CI, 1.20 to 2.04; P=0.001) and patients under 65 years old (HR 1.79; 95% CI, 1.34 to 2.38; P<0.001). Electric cardioversion was more frequent in men (HR 1.35; 95% CI, 1.06 to 1.72; P=0.014) than in women. The overall rate of stroke, blood transfusion, significant pericardial complication, and cardiopulmonary resuscitation was 0.5%, 4.8%, 2.7%, and 0.2%, respectively. Conclusions: In the present study, old age was associated with treatment failure of catheter ablation for drug-refractory AF in the Korean population. Overall recurrence did not vary with respect to sex.
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참고문헌 (22)
참고문헌 신청
Kirchhof P / 2016 / 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS / Europace 18:1609~1678
January CT / 2014 / 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society / J Am Coll Cardiol 64:e1~e76
서기현 / 2015 / Risk of Hip Fractures in Men with Alpha-Blockers: A Nationwide Study Base on Claim Registry / 대한골대사학회지 22(1):29~32
Nyong J / 2016 / Efficacy and safety of ablation for people with non-paroxysmal atrial fibrillation / Cochrane Database Syst Rev 11
Morillo CA / 2014 / Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of paroxysmal atrial fibrillation (RAAFT-2): a randomized trial / JAMA 311:692~700
January CT / 2014 / 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society / J Am Coll Cardiol 64:e1~e76
서기현 / 2015 / Risk of Hip Fractures in Men with Alpha-Blockers: A Nationwide Study Base on Claim Registry / 대한골대사학회지 22(1):29~32
Nyong J / 2016 / Efficacy and safety of ablation for people with non-paroxysmal atrial fibrillation / Cochrane Database Syst Rev 11
Morillo CA / 2014 / Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of paroxysmal atrial fibrillation (RAAFT-2): a randomized trial / JAMA 311:692~700
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