[Quality of life after RF ablation of reentrant supraventricular tachycardias and ventricular ectopic beats in own observation].
OBJECTIVE
To assess the quality of life (QoL) in patients who underwent RF reentrant supraventricular tachycardias and ventricular ectopic beats ablation.


METHODS
The study group consisted of 70 patients, 21 male, mean age 39.5 +/- 8.3 y. with supraventricular tachycardias (AVNRT, AVRT) and ventricular ectopic beats (VEB) treated with RF catheter ablation. The indications for the procedure were: nodal reentry tachycardia (group A n=24), WPW syndrome (group B n=24) and ventricular ectopic beats (group C n=22). Quality of life was prospectively evaluated. All the patients completed self-administered questionnaire (SF-36), disease--specific symptoms scale (Manolisa) and exercise capacity (DASI) before and 6 months after ablation. Scores were compared with t-Student test.


RESULTS
In all study population significant improvement in QOL was found after ablation. The improvement was significant in all eight subscales of SF-36 scale. The patients reported significant improvement as assessed by disease-specific symptoms scale and exercise capacity. Before ablation, role limitations (subscales 2 of SF-36) and exercise capacity were lower in WPW patients as compared to remaining patientss (63.5 vs. 31.3, p < 0.005 and 52.9 vs. 46.1, p < 0.05; group B vs. group A) and (52.9 vs. 39.9, p < 0.01; group B vs. group C).


CONCLUSIONS
The treatment of reentrant supraventricular arrhythmias and ventricular ectopic beats with RF catheter ablation significantly improves quality of life. The improvement was higher in VEB patients and negative correlation between QoL and an amount of VEB was observed. Pathomechanism of supraventricular tachycardia influences parameters of QoL. Role limitations were higher in AVNRT group than AVRT group. SF-36, disease--specific symptoms (Manolisa) and DASI questionnaire are useful in the assessment of efficacy of treatment for supraventricular arrhythmias and ventricular ectopic beats.
Lelakowski
Jacek
J
Uniwersytet Jagiellońiski, Collegium Medicum, Krakowski Szpital Specjalistyczny im. Jana Pawła II Instytutu Kardiologii, Klinika Elektrokardiologii. jlelakow@szpitaljp2.krakow.pl
Kuniewicz
Marcin
M
Rydlewska
Anna
A
Kafara
Mariusz
M
D000328:Adult; D017115:Catheter Ablation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D013617:Tachycardia, Supraventricular / Q000601:surgery*; D016896:Treatment Outcome; D018879:Ventricular Premature Complexes / Q000601:surgery*